Hal Mika/Medical Record

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Hal Mika

MEDICAL RECORD
  • Height: 178 cm, 5' 10"
  • Weight: 70.3 kg. 150 lbs
  • Blood Type: A-
  • T/E Rating: T0

PAST MEDICAL HISTORY

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

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

None

PAST SURGICAL HISTORY

None

PSYCHIATRIC HISTORY

None

SUBSTANCE USE HISTORY

  • Alcohol: Infrequent
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Parent 1 (Mother): None
  • Parent 2 (Father): No hereditary medical conditions
  • Siblings: No hereditary medical conditions

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Starfleet Counselor
  • Diet: Balanced
  • Exercise: Minimal,regular rock climbing

PHYSICIANS' NOTES

COUNSELORS' NOTES