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Medical Records

[Pinned] Physical Examination Template

Date: Attending Physician: Patient’s name: Date of Birth: Sex: Race: Height: Weight: Occupation: Allergies: Medication : Dietary restrictions: Family History: Medical History: Purpose of the visit:Summary of consultation:Recommendation:Signature [...
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Medical Records

Grieves, Roran

Date: May 30th, 37LCAttending Physician: Corporal Giatros Aresenio IstvanPatient’s name: Roran Lee GrievesDate of Birth: May 14th, 16 LCSex: MaleRace: Stormwindian; West FallHeight: 5' 11"Weight: 190 LBSOccupation: FarmerAllergies: No known al...
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Medical Records

Sweete, Kymberly

Date: 4/30/36 LCAttending Physician: Giatros A. IstvanPatient’s name: Kymberly SweeteDate of Birth: February 14th, 5 LCSex: FemaleRace: StormwindianHeight: 5"4Weight: 140 LBSOccupation: PriestressAllergies: No known allergiesMedication : NoneDieta...
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Medical Records

Whitepaw, Etruscan

ALERT - REVIEW MISC. NOTEDate: 4/11/36 LCAttending Physician: Giatos A. IstvanPatient’s name: Whitepaw, EtruscanDate of Birth: February 28th, 11 LCSex: MaleRace: LordaeronianHeight: 10"4Weight: "Heavy"- Patient not weighted due to illusionOccupati...
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Medical Records

Talbot, Averelie

Date: 11/3/16Attending Physician: Giatros A. IstvanPatient’s name: Talbot, AverelieDate of Birth: September 29th, 310 P.C.Sex: FemaleRace: Quel’doreian Occupation: Musketeer ( previously cavalryman)Allergies: NAMedication: NAFamily History: No kno...
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Medical Records

Stonewall, Caiterina Anne O'Creagh

Date: 11/6/35Attending Physician: Giatros A. IstvanPatient’s name: Stonewall, Caiterina AnneDate of Birth: Sept. 29thSex: FemaleRace: HumanHeight: 5’4”Weight: 110LBSOccupation: Ranger (previously, hunter)Allergies: NKAMedication : Peacebloom (Stre...
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Medical Records

Laldere, Muriah Anne

There appears to be some water stains, and ink smearing off the side.Date: 11/21/36Attending Physician: Giatros A. IstvanPatient’s name: Muriah Anne LaldereDate of Birth: 11/8/09 GIA ERROR 11/11/09Sex: FemaleBirthplace: North LordaeronHeight: 5' ...
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Medical Records

Stonewall, Markus Viktor

Date: 11/10/35Attending Physician: Giatros A. IstvanPatient’s name: Stonewall, Markus ViktorDate of Birth: Unknown July 17, 1 BDPSex: MaleRace: HumanHeight: 6"8Weight: 363 LBSOccupation: Vanguard (Prior- Cannibalistic hermit)Allergies: NKAMedicat...
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Medical Records

Greystone, Clarissa Felicia

Date: 11/9/35Attending Physician: Giatros A. IstvanPatient’s name: Greystone, Clarissa FeliciaDate of Birth: Febuary 11th, 2 LCSex: FemaleRace: HumanHeight: 5"4Weight: -No scale available- Patient reports 155 lbsOccupation: Lordaeron Silver Hand ...
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Medical Records

Auromere, Jeremaias D.

Date: 11/3/35Attending Physician: Giatros A. IstvanPatient’s name: Auromere, Jeremaias DominicDate of Birth: February 8th, 12 L.C.Sex: MaleRace: HumanOccupation: Corporal of the Stormwind Army (Jeweler and Lapidarist)Allergies: Not availableMedic...
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Medical Records

Venmenn, Roanne

Date: 11/3/35Attending Physician: Giatros A. IstvanPatient’s name: Venmenn, RoanneDate of Birth: December , 13. No known daySex: FemaleRace: Human (Gilneanian)Occupation: QuartermasterAllergies: Berries (produces nausea), even with tea.Medication...
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Medical Records

Sebale, Roy

Date: 11/3/35Attending Physician: Giatros A. IstvanName: Sebale, RoyDoB: March 31st, 18 LCSex: MaleOccupation: Soldier (Stormwind Royal Army)Medication: NoneAllergies: NoneFamily History:Patient reports that his father was also a soldier in the pa...
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Medical Records

Henderson, Luther

11/2/35Evaluating Physician: Giatros IstvanSurgeon (Apprentice)Name: Henderson, LutherDOB: August 12th, 02 LCSex: MaleMedication: N/AAllergies: Honey (Severely)Family History:Grandfather, and father reports of alcoholism. No further family history...
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