|
|
Quen Deena
|
|
|
|
MEDICAL RECORD
|
|
|
- Height: 157 cm (5'2")
- Weight: 62.1 kg (137 lbs)
- Blood Type: AO-
- T/E Rating: T0
|
|
|
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: None
- Recreation Drugs: None
- Other: None
|
|
|
FAMILY MEDICAL HISTORY
- Parent 1 (Mother): None
- Parent 2 (Father): Unknown
- Siblings: None
|
|
|
SOCIAL HISTORY
- Marital status: None
- Children: None
- Occupation/Assignment: Doctor
- Diet: Vegetarian
- Exercise:
|
|
|
|
|
PHYSICIANS' NOTES
|
|
|
|
|
COUNSELORS' NOTES
|
