Case File
efta-efta00301537DOJ Data Set 9OtherDS9 Document EFTA00301537
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00301537
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Name:
D.O.B:
Health Update 2016
Current Medications:
Medical History:
Allergies to Medication:
Surgical History:
Hospitalizations:
Social History: (Yes/No, How Often)
Tobacco:
Marijuana:
Alcohol:
Caffeine:
Family History:
(Status, Age, Health History)
Mother:
Father:
EFTA00301537
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