Section I. Personal Information 个人信息
Name 姓名
Angelina
Age 年龄
29
Date of Birth 生日
1992-02-09
Blood Type 血型
A
Height 身高
5’5″
Weight 体重
191
BMI 体脂比
31.78
City and States 居住地
lakeside , CA
Occupation 职业
insurance broker
Base Compensation 基本工资
$ 22.00
Highest level of School Complete 最高学历
some college
Ethnicity/Race 种族
Mexican and Hawaiian
Sexual Orientation 性取向
Heterosexuality
Religion 宗教
none
Marital Status 婚姻状况
Single
Years In Current Relationship 维持时间
0
Good Family Support? 是否有良好的家庭支持?
Yes
Section II. Birth Records 生育记录
Delivery History 生育史
Baby 1 宝宝 1
Delivery Date 出生日期
10/28/2017
Gender 性别
Male
Weight 体重
5
Gestational Age 胎龄
40
Delivery Type 生产类型
Vaginal
Have you delivered prematurely? 是否早产过?
No
Deliver less than 36 weeks on any pregnancy? 是否曾有怀孕少于 36 周生产?
No
Have you ever had an abortion, elective or otherwise? 是否有堕胎或人工流产史?
No
If yes, when? 如果有,什么时候?
Have you ever had a miscarriage? 是否有自然流产史?
No
If yes, when? 如果有,什么时候?
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