|
Tara Wilkins
|
|
|
MEDICAL RECORD
|
|
- Height: 160 cm (5'3")
- Weight: 51 kilos (112 lbs)
- Blood Type: AB-
- T/E Rating: T0
|
|
PAST MEDICAL HISTORY
- Chronic Illnesses: None
- Medications: None
- Allergies and Reactions: None known
- Sexual/Reproductive History: Casual male partners
|
|
PAST HOSPITALIZATIONS/SERIOUS ILLNESS
None
PAST SURGICAL HISTORY
None
|
|
PSYCHIATRIC HISTORY
None
SUBSTANCE USE HISTORY
- Alcohol: One glass of white wine during dinner
- Recreation Drugs: None
- Other: None
|
|
FAMILY MEDICAL HISTORY
- Parent 1 (Mother): Nothing of note
- Parent 2 (Father): Nothing of note
- Siblings: Nothing of note
|
|
SOCIAL HISTORY
- Marital status: Single, never married
- Children: None
- Occupation/Assignment: Science Officer
- Diet: Eats mainly fruits and vegetables with occasional poultry and fish
- Exercise: Running and yoga, when she is able, about two or three times a week
|
|
|
PHYSICIANS' NOTES
|
|
|
COUNSELORS' NOTES
|