Rendal Rennyn/Medical Record

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RENNYN, RENDAL ARNOM

  • Patient Reference Number: 736-736-696
  • Date of Birth: 235712.09
    • Age: 43
  • Sex: Male
  • Species: Trill (unjoined)
MEDICAL RECORD
  • Height: 195 cm (6'5")
  • Weight: 95 kilos (210 lbs)
  • Blood Type: AB
  • T/E Rating: None

PAST MEDICAL HISTORY

  • Chronic Illnesses:
  • Medications:
  • Allergies and Reactions:
  • Sexual/Reproductive History:

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD 237005.05:

PAST SURGICAL HISTORY

  • SD 237005.05:

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol:
  • Recreation Drugs:
  • Other:

FAMILY MEDICAL HISTORY

  • Mother:
  • Father:
  • Siblings:

SOCIAL HISTORY

  • Marital status: N/A
  • Children: N/A
  • Occupation/Assignment: Helm Officer, USS Atlantis
  • Diet:
  • Exercise:

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment: