Kivik/Medical Record

	Kivik Patient Reference Number: JN - 081 - 294 Date of Birth: 236609.07 Age: 35 Sex: Androgynous Species: J'naii
		MEDICAL RECORD
	Height: 1.57 m (5'2") Weight: 55 kg (120 lb) Blood Type: T- T/E Rating: T0/E0
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: Some pollens & barks (including Falla Bush) Sexual/Reproductive History: Declined to respond
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS 2379: Broken radius PAST SURGICAL HISTORY None
	PSYCHIATRIC HISTORY Possible Anxiety Diagnosis SUBSTANCE USE HISTORY Alcohol: None Recreation Drugs: None Other: Coffee & Jibrore Drinker
	FAMILY MEDICAL HISTORY Parent 1 (Mother): Not relevant due to J'naii genetic engineering Parent 2 (Father): Not relevant due to J'naii genetic engineering Siblings: Not relevant due to J'naii genetic engineering
	SOCIAL HISTORY Marital status: Single Children: None Occupation/Assignment: Science Officer Diet: Omnivore Exercise: Varied holodeck programs
	PHYSICIANS' NOTES Pending
	COUNSELORS' NOTES Pending