OBergmen/Medical Record

	OBergmen Patient Reference Number: GB-503-838 Date of Birth: 235105.08 Age: 50 Sex: Male Species: Gideon
		MEDICAL RECORD
	Height: 185cm (6' 1”) Weight: 78 kilos (172 lbs) Blood Type: 0 Rh- T/E Rating: T0
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: None Sexual/Reproductive History: Active, no partner
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS None PAST SURGICAL HISTORY None
	PSYCHIATRIC HISTORY None SUBSTANCE USE HISTORY Alcohol: None Recreation Drugs: None Other: None
	FAMILY MEDICAL HISTORY Parent 1 (Mother): None Parent 2 (Father): None Siblings: None
	SOCIAL HISTORY Marital status: Unmarried Children: None Occupation/Assignment: Operation Officer Diet: Kosher Exercise: Rowing, 3 times a week
	PHYSICIANS' NOTES None
	COUNSELORS' NOTES None