Tai Ilsam/Medical Record

UNDER CONSTRUCTION -- NOT ALL INFORMATION IS ACCURATE AT THIS TIME

	Tai Ilsam Patient Reference Number: EZ - 123 - 456 Date of Birth: 236203.10 Age: 39 Sex: Male Species: Bactrican
		MEDICAL RECORD
	Height: 174.5cm (5'9") Weight: 72.6kg (160lbs) Blood Type: Information Not Available T/E Rating: T0/E0
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: None Sexual/Reproductive History: Widower
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS PAST SURGICAL HISTORY Information Not Available
	PSYCHIATRIC HISTORY Depression SUBSTANCE USE HISTORY Alcohol: 4-5 alcoholic beverages per week (when off duty only) Recreation Drugs: None Other: None
	FAMILY MEDICAL HISTORY Parent 1 (Mother): None Parent 2 (Father): Anxiety Siblings: None
	SOCIAL HISTORY Marital status: Single Children: None Occupation/Assignment: Counselor Diet: Omnivorous Exercise: Martial Arts, 5 times a week; Weights, 4 times per week
	PHYSICIANS' NOTES
	COUNSELORS' NOTES