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: None Medications: None Allergies and Reactions: None Sexual/Reproductive History: None
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS None PAST SURGICAL HISTORY None
	PSYCHIATRIC HISTORY None SUBSTANCE USE HISTORY Alcohol: None Recreation Drugs: None Other: None
	FAMILY MEDICAL HISTORY Parent 1 (Mother): unknown Parent 2 (Father): unknown Siblings: None
	SOCIAL HISTORY Marital status: Single Children: None Occupation/Assignment: Captain's Aide, Template:Starbase Diet: Omnivore. None Exercise: Workout regimen of 2 hours every three days. Sometimes skipped due to stress.
	PHYSICIANS' NOTES
	COUNSELORS' NOTES