Kelrod/Medical Record

	KELROD Patient Reference Number: To be determined (provisional GT-190-779) Date of Birth:235907.19 Age: 42 (Host body) Marcus Dickens Sex: Male Species: Angosian/Betazoid
		MEDICAL RECORD
	Height: 182 cm (5'9") Weight: 79 kilos ( 174 lbs) Blood Type: B T/E Rating: 3/4
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: Not known Sexual/Reproductive History: Married with a Vukvan woman, no children. Stable relationship until 2391. Actual status: Divorced.
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS SD : SD : PAST SURGICAL HISTORY SD 2388: Implant of cybernetic replacement of left hand and a third of forearm. SD :
	PSYCHIATRIC HISTORY Actual Counselor: Commander Raissa Moonsong Evaluation: SUBSTANCE USE HISTORY Alcohol: Not known Recreation Drugs: Not known Other:
	FAMILY MEDICAL HISTORY Biological body Mother: Betazoid Father: Angosian (War Veteran) Siblings:
	SOCIAL HISTORY Marital status: Divorced Children: None Occupation/Assignment: Security Officer (SAR leader) Diet: Omnivoral Exercise: Hand to hand combat, fencing, SAR training.
	PHYSICIANS' NOTES Medical Officer: Raj Blueheart Medical Assessment:
	COUNSELORS' NOTES Counselor: Raissa Moonsong Psychological Assessment: