Lephi/Medical Record

< Lephi
Revision as of 00:38, 25 October 2020 by Lephi (talk | contribs)
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Lephi

MEDICAL RECORD
  • Height: 163 cm (5'3")
  • Weight: 63.5 kilos (140 lbs)
  • Blood Type: P+
  • T/E Rating: T0/E0

PAST MEDICAL HISTORY

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

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

None

SUBSTANCE USE HISTORY

  • Alcohol: Occasional Ferengi Wine
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

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

SOCIAL HISTORY

  • Marital status: Dating Elizabeth Snow
  • Children: None
  • Occupation/Assignment: Assistant Chief Engineer aboard USS Chin'toka
  • Diet: Normal
  • Exercise: Running; 3 times a week, meditating, muay thai.

PHYSICIANS' NOTES

COUNSELORS' NOTES