Bas Nadia/Medical History

	Bas Nadia Patient Reference Number: AG - 374 -936 Date of Birth: 237020.08 Age: 30 Sex: Female Species: Betazoid
		MEDICAL RECORD
	Height: (5'5") Weight: (115lbs) Blood Type: B+ T/E Rating: T6/E5
	PAST MEDICAL HISTORY Chronic Illnesses: Unknown Medications: Unknown Allergies and Reactions: Unknown Sexual/Reproductive History: Unknown
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS Unknown PAST SURGICAL HISTORY Unknown
	PSYCHIATRIC HISTORY Unknown SUBSTANCE USE HISTORY Alcohol: Unknown Recreation Drugs: Unknown Other: None
	FAMILY MEDICAL HISTORY Parent 1 (Mother): unknown Parent 2 (Father): unknown Siblings: Unknown
	SOCIAL HISTORY Marital status: Single Children: Unknown Occupation/Assignment: Captain's Aide, Starbase 118 Diet: Omnivore. None Exercise: Workout regimen of 2 hours every three days. Sometimes skipped due to stress.
	PHYSICIANS' NOTES
	COUNSELORS' NOTES