Colleen Bancroft/Medical Record

	Colleen Bancroft Patient Reference Number: LX - 927 - 844 Date of Birth: 237006.06 Age: 31 Sex: Female Species: Human
		MEDICAL RECORD
	Height: 1.65 meters (5'5") Weight: 65.3 kg (144 lbs.) Blood Type: O- T/E Rating: T0/E0
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: N/A Sexual/Reproductive History:
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS PAST SURGICAL HISTORY
	PSYCHIATRIC HISTORY SUBSTANCE USE HISTORY Alcohol: Recreation Drugs: None Other: None
	FAMILY MEDICAL HISTORY Siblings:
	SOCIAL HISTORY Marital status: N/A Children: None Occupation/Assignment: Diet: Standard Exercise:
	PHYSICIANS' NOTES
	COUNSELORS' NOTES