Freck/Medical Record

	Freck Patient Reference Number: UL-700-160 Date of Birth: 237405.16 Age: 27 Sex: Male Species: Ferengi
		MEDICAL RECORD
	Height: 1.53 m (5'0") Weight: 50 kg (110 lbs) Blood Type: Yellow T/E Rating: T0 NR
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: None Sexual/Reproductive History: None
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS None PAST SURGICAL HISTORY None
	PSYCHIATRIC HISTORY None SUBSTANCE USE HISTORY Alcohol: Special Occasions Recreation Drugs: None Other: None
	FAMILY MEDICAL HISTORY Parent 1 (Mother): None Parent 2 (Father): Chronic Suppurative Otitis Media Siblings: None
	SOCIAL HISTORY Marital status: Single Children: None Occupation/Assignment: Science Officer Diet: Primarily Insectivore Exercise: Endurance Running
	PHYSICIANS' NOTES
	COUNSELORS' NOTES