Quen Deena/Medical Record

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Quen Deena

MEDICAL RECORD
  • Height: 157 cm (5'2")
  • Weight: 62.1 kg (137 lbs)
  • Blood Type: AO-
  • T/E Rating: T0

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions:
  • Sexual/Reproductive History:

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

PAST SURGICAL HISTORY

PSYCHIATRIC HISTORY

None

SUBSTANCE USE HISTORY

  • Alcohol: None
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Parent 1 (Mother): None
  • Parent 2 (Father): Unknown
  • Siblings: None

SOCIAL HISTORY

  • Marital status: None
  • Children: None
  • Occupation/Assignment: Doctor
  • Diet: Vegetarian
  • Exercise:

PHYSICIANS' NOTES

COUNSELORS' NOTES