Varu Novin/Medical Record: Difference between revisions
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*'''Height:''' 180 cm (5'11") | *'''Height:''' 180 cm (5'11") | ||
*'''Weight:''' 75 kilos (165 lbs) | *'''Weight:''' 75 kilos (165 lbs) | ||
*'''Blood Type:''' | *'''Blood Type:''' Unknown | ||
*'''[[T/E Rating]]:''' T0/E0 | *'''[[T/E Rating]]:''' T0/E0 | ||
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===PAST MEDICAL HISTORY=== | ===PAST MEDICAL HISTORY=== | ||
*'''Chronic Illnesses:''' | *'''Chronic Illnesses:''' None | ||
*'''Medications:''' | *'''Medications:''' None | ||
*'''Allergies and Reactions:''' | *'''Allergies and Reactions:''' Unknown | ||
*'''Sexual/Reproductive History:''' | *'''Sexual/Reproductive History:''' Unknown | ||
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|colspan=2| | |colspan=2| | ||
===PAST HOSPITALIZATIONS/SERIOUS ILLNESS=== | ===PAST HOSPITALIZATIONS/SERIOUS ILLNESS=== | ||
*''' | *'''Unknown''' | ||
===PAST SURGICAL HISTORY=== | ===PAST SURGICAL HISTORY=== | ||
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|colspan=2| | |colspan=2| | ||
===PSYCHIATRIC HISTORY=== | ===PSYCHIATRIC HISTORY=== | ||
*'''Unknown''' | |||
===SUBSTANCE USE HISTORY=== | ===SUBSTANCE USE HISTORY=== | ||
*'''Alcohol:''' | *'''Alcohol:''' Unknown | ||
*'''Recreation Drugs:''' | *'''Recreation Drugs:''' Unknown | ||
*'''Other:''' | *'''Other:''' Unknown | ||
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*'''Marital status:''' Single | *'''Marital status:''' Single | ||
*'''Children:''' None | *'''Children:''' None | ||
*'''Occupation/Assignment:''' Medical Officer | *'''Occupation/Assignment:''' Medical Officer | ||
*'''Diet:''' | *'''Diet:''' Unknown | ||
*'''Exercise:''' | *'''Exercise:''' Unknown | ||
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|style="background:teal;" colspan=3 height=4| | |style="background:teal;" colspan=3 height=4| |
Revision as of 20:49, 10 August 2014
VARU, NOVIN
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESS
PAST SURGICAL HISTORY
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PSYCHIATRIC HISTORY
SUBSTANCE USE HISTORY
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FAMILY MEDICAL HISTORY
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SOCIAL HISTORY
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PHYSICIANS' NOTES
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COUNSELORS' NOTES
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