|
|
Jana Zicv
|
|
|
|
MEDICAL RECORD
|
|
|
- Height: 177 cm (5'10")
- Weight: 58 kilos (128 lbs)
- Blood Type: Data not available
- T/E Rating: T0+
|
|
|
PAST MEDICAL HISTORY
- Chronic Illnesses: None
- Medications: None
- Allergies and Reactions: None known
- Sexual/Reproductive History: 1 sexual male partner / two stillborn babies
|
|
|
PAST HOSPITALIZATIONS/SERIOUS ILLNESS
- SD 238607.11: Late-Term Abortion Procedure
- SD 238801.23: Late-Term Abortion Procedure
PAST SURGICAL HISTORY
|
|
|
PSYCHIATRIC HISTORY
A routine psychological survey done at Starfleet academy lists her as "Fit for Duty, no concerns at present."
SUBSTANCE USE HISTORY
- Alcohol: Social only
- Recreation Drugs: None
- Other: None
|
|
|
FAMILY MEDICAL HISTORY
- Parent 1 (Mother): None
- Parent 2 (Father): None
- Siblings: None
|
|
|
SOCIAL HISTORY
- Marital status: Divorced, Amarri Qewirot
- Children: none
- Occupation/Assignment: Science Officer
- Diet: Mostly Vegetarian
- Exercise: 3 times per week, Aerobics
|
|
|
|
|
PHYSICIANS' NOTES
None
|
|
|
|
|
COUNSELORS' NOTES
None
|
