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Varu Novin/Medical Record

< Varu Novin
Revision as of 20:52, 10 August 2014 by Varu Novin (talk | contribs)
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VARU, NOVIN

MEDICAL RECORD
  • Height: 180 cm (5'11")
  • Weight: 75 kilos (165 lbs)
  • Blood Type: Unknown
  • T/E Rating: T0/E0

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: Unknown
  • Sexual/Reproductive History: Unknown

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • Unknown

PAST SURGICAL HISTORY

  • None

PSYCHIATRIC HISTORY

  • Unknown

SUBSTANCE USE HISTORY

  • Alcohol: Unknown
  • Recreation Drugs: Unknown
  • Other: Unknown

FAMILY MEDICAL HISTORY

  • Mother: Ezri Varu (Trill)
  • Father: Varu Antos (Bajoran)
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Medical Officer
  • Diet: Unknown
  • Exercise: Unknown

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment:
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