Evelyn Beake/Medical Record

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Evelyn Beake

MEDICAL RECORD
  • Height: 165.1 cm (5'5")
  • Weight: 68 kilos (149 lbs)
  • Blood Type: AB+
  • T/E Rating: T4/E4

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: None
  • Sexual/Reproductive History: 1 Sexual Partner

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

N/A

PSYCHIATRIC HISTORY

None

SUBSTANCE USE HISTORY

  • Alcohol: 1 glass of wine per week
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

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

SOCIAL HISTORY

  • Marital status: In a relationship
  • Children: 0
  • Occupation/Assignment: Engineering Officer
  • Diet: Omnivore
  • Exercise: Weights, Running 3 times a week

PHYSICIANS' NOTES

N/A

COUNSELORS' NOTES