Chun, Kimiko/Medical Transcript

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CHUN, KIMIKO REI

MEDICAL RECORD
  • Height: 164.5 cm (5'4")
  • Weight: 60.78 kilos (134 lbs)
  • Blood Type: AB+
  • T/E Rating:

PAST MEDICAL HISTORY

  • Chronic Illnesses: N/A
  • Medications: N/A
  • Allergies and Reactions: N/A
  • Sexual/Reproductive History: N/A

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: N/A
  • Recreation Drugs: N/A
  • Other: N/A

FAMILY MEDICAL HISTORY

  • Mother: Akira Chun
  • Father: Reijirou Chun
  • Siblings: Makaso Chun (deceased)

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Counsellor
  • Diet: Normal
  • Exercise: Normal

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment: