Tu'Peq/Medical Record

Main Page	TU'PEQ Serial Number: TS - 349 - 752 Rank: Lieutenant J.G. Position: Science Officer Assignment: USS Blackwell Clearance: L2
	Service Record	Personal Life	Medical Record	Academy Transcript		MEDICAL RECORD

	Date of Birth: 234203.4 Age: 59 Sex: Male Species: Vulcan Height: 182 cm Weight: 72 kg Blood Type: T+
	PAST MEDICAL HISTORY Chronic Illnesses: Acute Asthma Medications: Inhaled corticosteroids Allergies and Reactions: Asthma Sexual/Reproductive History:
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS PAST SURGICAL HISTORY
	PSYCHIATRIC HISTORY SUBSTANCE USE HISTORY Alcohol: Frequent use, at risk of addiction. Recreation Drugs: None Other: None
	FAMILY MEDICAL HISTORY Mother: Father: Siblings:
	SOCIAL HISTORY Marital status: Single Children: None Occupation/Assignment: Helm & Navigational Officer, USS Apollo Diet: Exercise:
	PHYSICIANS' NOTES Medical Officer: Lt. Commander Jalana Laxyn, MD, USS Apollo Medical Assessment:
	COUNSELORS' NOTES Counselor: Psychological Assessment: