Varu Novin/Medical Record

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VARU, NOVIN

MEDICAL RECORD
  • Height: 180 cm (5'11")
  • Weight: 75 kilos (165 lbs)
  • Blood Type:
  • T/E Rating: T0/E0

PAST MEDICAL HISTORY

  • Chronic Illnesses:
  • Medications:
  • Allergies and Reactions:
  • Sexual/Reproductive History:

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • None

PAST SURGICAL HISTORY

  • None

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol:
  • Recreation Drugs:
  • Other:

FAMILY MEDICAL HISTORY

  • Mother: Ezri Varu
  • Father: Varu Antos
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Medical Officer/USS Atlantis
  • Diet:
  • Exercise:

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment:
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