Ilene Torza/Medical Records

	Ilene Torza Patient Reference Number: WC-511-743 Date of Birth: 236705.04 Age: 34 Sex: Female Species: Ullian
		MEDICAL RECORD
	Height: 4' 11" Weight: 110 lbs Blood Type: TBD T/E Rating: T4
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: No Known Drug or Food Allergies Sexual/Reproductive History: Not Sexually Active
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS none PAST SURGICAL HISTORY none
	PSYCHIATRIC HISTORY None SUBSTANCE USE HISTORY Alcohol: Occasional Recreation Drugs: None Other: None
	FAMILY MEDICAL HISTORY Parent 1 (Mother): None Parent 2 (Father): None Siblings: None
	SOCIAL HISTORY Marital status: Single Children: None Occupation/Assignment: Science Diet: Omnivore, attempts to be healthy Exercise: Aerobic, Three times a week
	PHYSICIANS' NOTES None to date
	COUNSELORS' NOTES None to date