Personal Medical Record
Personal Details
Full Name: | Jasen Gaylord |
Date of Birth: | January 1, 2050 |
Blood Type: | O+ |
Address: | Colorado Springs, CO 80901 |
Contact Number: | 222 555 7777 |
Email: | jasen@you.mail |
Emergency Contact Information
Name: | Jane Gaylord |
Relationship: | Wife |
Contact Number: | 222 555 7777 |
Medical History
Jasen Gaylord has a history of hypertension and is currently managing it with lifestyle changes and medication. He has undergone a knee surgery in 2078 and has recovered well.
Current Medications
Allergies
No known allergies to medications, food, or other substances.
Recent Medical Visits
Date | Doctor | Reason for Visit | Outcome/Notes |
|---|
June 15, 2083 | Dr. [YOUR NAME] | Routine Check-up | Blood pressure within normal range. Advised to continue current regimen. |
March 10, 2083 | Dr. [YOUR NAME] | Knee Pain | Underwent physiotherapy sessions. Knee pain reduced significantly. |
Vaccinations
Jasen Gaylord is up to date with his vaccinations, including the seasonal flu vaccine received in October 2083.
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