Kaansi Desan/Medical Record

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Kaansi Desan

MEDICAL RECORD
  • Height: 6'0
  • Weight: 223 lbs
  • Blood Type: O+
  • T/E Rating: T0+/E0+

PAST MEDICAL HISTORY

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

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

None

SUBSTANCE USE HISTORY

  • Alcohol: 2 glasses of wine per week
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Parent 1 (Mother): None
  • Parent 2 (Father): None
  • Siblings: None

SOCIAL HISTORY

  • Marital status: None
  • Children: None
  • Occupation/Assignment: Science Officer
  • Diet: Omnivorous
  • Exercise: Running, 5 times a week

PHYSICIANS' NOTES

  • SD - Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • SD - Counselor:
  • Counseling Assessment: