• Vitals
    • Weight: Kilograms
    • Last Updated: Date the information was last updated
    • Smoker
      • Anti Smoking Treatment
      • Never Smoked
      • Not now but was a
      • Yes and still smoke
    • Height: Centimetres
    • Hair
      • Black
      • Blonde
      • Brown
      • Dark Brown
      • Light Brown
      • Red
      • Sandy
    • Complexion
      • Brown
      • Dark
      • Fair
      • Olive
      • White
    • Blood Group
      • A+
      • A-
      • AB+
      • AB-
      • B+
      • B-
      • O+
      • O-
    • Blood Pressure
      • High
      • Low
      • Normal
    • *Nationality *
      • African
      • Caucasian
      • Islander
      • Oriental
    • Ethnic Origin
      • Asians
      • Caucasian
      • European
      • Middle East
      • Native African
    • Religion
      • Anglican
      • Baptist
      • Buddhism
      • Christian Science
      • Christianity
      • Church of Christ
      • Church of England
      • Coptic
      • Eastern Orthodox
      • Episcopalian
      • Evangelical Reformed
      • Hinduism
      • Islam
      • Jehovah’s Witness
      • Latter-day Saint
      • Lutheran
      • Melkite
      • Methodist
      • Mormon
      • Mormonism
      • Orthodox Christianity
      • Pentecostal
      • Presbyterian
      • Roman Catholic
      • Seven Day Adventist
      • Uniat
  • Health Cover Details
    • Medicare Number: Card Number
    • Expiry Date: Card Expiry
    • Private Health Fund: Name of the Private Health Fund
    • Number: Card Number
    • Member Since: Date the membership started
    • Type of Cover: Level of cover under the membership
Revision: 5
Last modified: 2019/11/26

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