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LAST NAME, FIRST NAME MIDDLE NAME
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MEDICAL RECORD
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- Height: 170.7 cm (5'6")
- Weight: 63.5 kilos (140 lbs)
- Blood Type: O Negative
- T/E Rating: 0
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PAST MEDICAL HISTORY
- Chronic Illnesses: L. Avery has no known long-term, chronic illnesses or medical maladies. The only recorded case of her falling ill with a significant illness was in 2389, and is listed as follows:
- While on outdoor, planetary survival excursion L. Avery was diagnosed with Terran Pneumonia following long-term exposure to temperatures below -1 degrees Celsius in high-humidity conditions. Upon conclusion of excursion, L. Avery had been ill approximately four days. Chemotherapeutic treatment with multi-hypospray antibiotics alleviated condition within five more days.
- Medications:
- Allergies and Reactions:
- Sexual/Reproductive History:
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PAST HOSPITALIZATIONS/SERIOUS ILLNESS
- SD 237005.05:
- SD 237007.05:
PAST SURGICAL HISTORY
- SD 237005.05:
- SD 237007.05:
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PSYCHIATRIC HISTORY
SUBSTANCE USE HISTORY
- Alcohol:
- Recreation Drugs:
- Other:
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FAMILY MEDICAL HISTORY
- Mother:
- Father:
- Siblings:
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SOCIAL HISTORY
- Marital status:
- Children:
- Occupation/Assignment:
- Diet:
- Exercise:
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PHYSICIANS' NOTES
- Medical Officer:
- Medical Assessment:
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COUNSELORS' NOTES
- Counselor:
- Psychological Assessment:
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