|
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:
|