Ben Livingston/Medical Record

	LIVINGSTON, BENJAMIN HAROLD Patient Reference Number: BW - 250 - 197 Date of Birth: 236004.21 Age: 41 Sex: Male Species: Terran
		MEDICAL RECORD
	Height: 1.7 m (5'7") Weight: 64 kg (141 lbs) Blood Type: A Negative T/E Rating: None
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: None Sexual/Reproductive History:
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS SD 239006.02: Severe concussion with accompanying memory loss. Sustained during explosion. Other conditions treated included lacerations and hearing loss. SD 237007.05: Injured during fall. Fractured tibia, treated for exhaustion. PAST SURGICAL HISTORY SD 237005.05: SD 237007.05:
	PSYCHIATRIC HISTORY SUBSTANCE USE HISTORY Alcohol: Occasional use Recreation Drugs: None Other: None
	FAMILY MEDICAL HISTORY Mother: Father: Siblings:
	SOCIAL HISTORY Marital status: Single Children: None Occupation/Assignment: First Officer Diet: Exercise: Jogs regularly
	PHYSICIANS' NOTES Medical Officer: Medical Assessment:
	COUNSELORS' NOTES Counselor: Psychological Assessment: