đ Emergency contacts
Maria
Phone number: +1 555 123 1234
Languages: English, Spanish
Alexandre
Phone number: +351 911 111 222
Languages: Portuguese, English
âšī¸ Personal information
Full legal name: Jonathan Doe
Date of Birth: 01 January 1993
Languages: English
 âī¸Past Medical History
đĨ Hypertension: YES
Details: Hypertension stage 2 (high blood pressure), usually 140/90mm.
đĨ Kidney Disease: YES
Details: Had kidney stones in the past
đŠ Diabetes: NO
đŠ Epilepsy: NO
đŠ Leaver disease: NO
đŠ Lung disease: NO
đŠ Heart Disease: NO
đŠ Heart Medications: NO
đŠ Prior surgeries: NO
đŠ Other: NO
đ Allergies
đĨ Materials: YES
Details: Allergic to latex
đ¨ Insect allergies: UNKNOWN
đŠ Food: NO
đŠ Medications: NO
đŠ Other: NO
đ Regular medications
đŠ Asthma Medications: NO
đŠ Blood Thinners: NO
đŠ Diabetes Medications: NO
đŠ Epilepsy Medications: NO
đŠ Heart Medications: NO
𤸠Lifestyle habits
đĨ Current smoking: YES
đŠ Current alcohol heavy use: NO
đŠ Past alcohol heavy use: NO
đŠ Past smoking: NO
đŠ Current recreational drugs use: NO
đŠ Past recreational drugs use,: NO
đŠ Intensive Exercising / Professional sport: NO