Nugra/Medical Record

< Nugra
Revision as of 21:15, 21 August 2014 by Nugra (talk | contribs)
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NUGRA

MEDICAL RECORD
  • Height: 205.74 cm (6'9")
  • Weight: 146 kilos (320 lbs)
  • Blood Type: QC-
  • T/E Rating: T0/E0

PAST MEDICAL HISTORY

  • Chronic Illnesses:None Noted.
  • Medications: None.
  • Allergies and Reactions: Mild allergic to wheat products. Breaks out in a rash.
  • Sexual/Reproductive History: Declined to respond.

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD 237005.05:
  • SD 237007.05:

PAST SURGICAL HISTORY

  • SD 237005.05:
  • SD 237007.05:

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: Moderate Consumption
  • Recreation Drugs: None
  • Other: N/A

FAMILY MEDICAL HISTORY

  • Mother: Declined to Respond
  • Father: Declined to Respond
  • Siblings: Declined to Respond

SOCIAL HISTORY

  • Marital status: Single
  • Children: Iria (Adopted)
  • Occupation/Assignment: Commanding Officer, USS Victory
  • Diet: Carnivore
  • Exercise: Moderate to Intense

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment: