Tiria Hamasaki/Medical Record

	Tiria Hamasaki Patient Reference Number: MW-987-029 Date of Birth: 236610.04 Age: 35 Sex: Female Species: Human
		MEDICAL RECORD
	Height: 154.9 cm (5'1") Weight: 56 kilos (123 lbs) Blood Type: O- T/E Rating: T0
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: None Sexual/Reproductive History: None
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS PAST SURGICAL HISTORY
	PSYCHIATRIC HISTORY None SUBSTANCE USE HISTORY Alcohol: None Recreation Drugs: None Other: None
	FAMILY MEDICAL HISTORY Parent 1 (Mother): None Parent 2 (Father): None Siblings: None
	SOCIAL HISTORY Marital status: None Children: 1 son Occupation/Assignment: Helmswoman Diet: None Exercise: Running/Exercise Regimen
	PHYSICIANS' NOTES
	COUNSELORS' NOTES