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===PAST MEDICAL HISTORY=== | ===PAST MEDICAL HISTORY=== | ||
*'''Chronic Illnesses:''' | *'''Chronic Illnesses:''' None | ||
*'''Medications:''' | *'''Medications:''' None | ||
*'''Allergies and Reactions:''' | *'''Allergies and Reactions:''' None | ||
*'''Sexual/Reproductive History:''' Active | *'''Sexual/Reproductive History:''' Active | ||
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*'''Alcohol:''' None | *'''Alcohol:''' None | ||
*'''Recreation Drugs:''' None | *'''Recreation Drugs:''' None | ||
*'''Other:''' | *'''Other:''' None | ||
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|style="background:teal;"| | |style="background:teal;"| | ||
|colspan=2| | |colspan=2| | ||
===FAMILY MEDICAL HISTORY=== | ===FAMILY MEDICAL HISTORY=== | ||
*'''Mother:''' | *'''Mother:''' None | ||
*'''Father:''' | *'''Father:''' None | ||
*'''Siblings:''' | *'''Siblings:''' None | ||
|- | |- | ||
|style="background:teal;"| | |style="background:teal;"| |
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