Tiria Hamasaki/Medical Record

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< Tiria Hamasaki
Revision as of 09:24, 18 January 2019 by Ceciri (talk | contribs) (Basic. Will add in more detail as I write it out.)
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Tiria Hamasaki

MEDICAL RECORD
  • Height: 154.9 cm (5'1")
  • Weight: 56 kilos (123 lbs)
  • Blood Type: O-
  • T/E Rating: T0

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: None
  • Sexual/Reproductive History: None

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

None

SUBSTANCE USE HISTORY

  • Alcohol: None
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Parent 1 (Mother): None
  • Parent 2 (Father): None
  • Siblings: None

SOCIAL HISTORY

  • Marital status: None
  • Children: 1 son
  • Occupation/Assignment: Helmswoman
  • Diet: None
  • Exercise: Running/Exercise Regimen

PHYSICIANS' NOTES

COUNSELORS' NOTES