John Nugra/Medical Record

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NUGRA

MEDICAL RECORD
  • Height: 190 cm (6'3")
  • Weight: 84 kilos (185 lbs)
  • Blood Type: A-
  • T/E Rating: T0/E0

PAST MEDICAL HISTORY

  • Chronic Illnesses:Celiac Disease
  • Medications: None.
  • Allergies and Reactions: Wheat Allergy
  • Sexual/Reproductive History: Declined to respond.

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: Moderate Consumption
  • Recreation Drugs: None
  • Other: N/A

FAMILY MEDICAL HISTORY

  • Mother: none
  • Father: none
  • Siblings: none

SOCIAL HISTORY

  • Marital status: Single
  • Children: Iria (Adopted), Ndrassa
  • Occupation/Assignment: Civilian
  • Diet: Omnivore (partial to meat)
  • Exercise: Moderate to Intense

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment: