Medical profile

Jul 15, 2011 01:27



PATIENT MEDICAL HISTORY

Name: Minatsuki Takami
Age: 17 years
Sex: Female
Height: 147 cm
Weight: 48 kg

[ ] Magical by nature/practices magic.
[ ] Can't have magic used on.
[ ] Contagious (see notes).

Human (Homo sapiens)

Average Lifespan: 70-80 years
Rate of Maturity: 18-20 years
Average age of Puberty: 12-14 years

Normal Diet:
Standard human diet: Mess hall food, meat, fruits, vegetables, grains.

Common Ailments:
Colds, fevers, see file on [Common Human Illnesses].

Specific Notes: (healing factors, special needs, etc)
N/A*

GENERAL HEALTH

All of the following sense-related questions are to be answered in comparison to an average Homo sapiens. Ask your medical provider for assistance in answering this section.

Blood Pressure: [X] Average | [ ] Low | [ ] High

Vision: [X] Fine | [ ] Near Sighted | [ ] Far Sighted | [ ] Enhanced

If Enhanced, further explain:

Hearing: [ ] Deaf | [ ] Low | [X] Average | [ ] High Range | [ ] Low Range | [ ] Extremely Sensitive

If necessary, further explain:

Smell: [ ] Cannot Smell | [ ] Low | [X] Average | [ ] High | [ ] Extremely Sensitive

If Extremely Sensitive, further explain:

Known Allergies:
None

Are there any potential complications with healing processes we should be aware of when treating you?:
No

Do you have a healing factor different from the average for your species? If so, explain how here:
No

Have you recently been screened for species, sex, and age specific cancer risks?:
No

Special notes on care: (Such as contagious diseases/conditions, special means of handling, special care taken in handling)
N/A

Record of Past Injuries:
Multiple deep scars on her back from parental abuse*; one kidney and part of her stomach have been surgically removed.

Ship Health Records:
In good health; no injuries. Single piercing in tongue and each ear.

SEXUAL HEALTH

Date of Last Menses/Estrus/Equiv (skip if n/a):
One week before abduction
Have you ever been sexually active?:
No*
Are you currently Sexually Active:
No
Have you recently been screened for STIs?:
No
Species specific sexually related health notes and/or issues:
N/A

DRUGS AND MEDICATION

Are you or should you be on any prescribed medication? If so, list below:
No

Have you taken any recreational or non-prescribed drugs or substances in the past? Is so, please list them and their frequency of use below:
No*

Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below:
No

Minatsuki lies a lot. Items marked with a * are deliberate falsehoods on her part.
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