Dassa Alexander/Medical Record

	Dassa Alexander Patient Reference Number: ED - 022 -461 Date of Birth: 236102.24 Age: 41 Sex: Female Species: Lumerian/Human
		MEDICAL RECORD
	Height: 170 cm (5'7") Weight: 54 kilos (119 lbs) Blood Type: 0+ T/E Rating: T2/E4
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: None known Sexual/Reproductive History:
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS PAST SURGICAL HISTORY
	PSYCHIATRIC HISTORY None SUBSTANCE USE HISTORY Alcohol: Recreation Drugs: None Other: None
	FAMILY MEDICAL HISTORY Parent 1 (Mother): None Parent 2 (Father): Cardiovascular disease Siblings: None
	SOCIAL HISTORY Marital status: Single Children: None Occupation/Assignment: Doctor Diet: Omnivore Exercise: 4 times a week
	PHYSICIANS' NOTES
	COUNSELORS' NOTES