Clio Athenodora Margariti/Medical Records

	MARGARITI, CLIO ATHENODORA Patient Reference Number: EL - 312 - 915 Date of Birth: 236311.11 Age: 38 Sex: Female Species: Terran
		MEDICAL RECORD
	Height: 160 cm (5'2") Weight: 54.44 kilos (120 lbs) Blood Type: O-negative T/E Rating: 0
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: Strawberries Sexual/Reproductive History:
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS SD 237005.05: SD 237007.05: PAST SURGICAL HISTORY SD 237005.05: SD 237007.05:
	PSYCHIATRIC HISTORY SUBSTANCE USE HISTORY Alcohol: Recreation Drugs: Other:
	FAMILY MEDICAL HISTORY Mother: Father: Siblings:
	SOCIAL HISTORY Marital status: Children: Occupation/Assignment: Diet: Exercise:
	PHYSICIANS' NOTES Medical Officer: Medical Assessment:
	COUNSELORS' NOTES Counselor: Psychological Assessment: