Donor 5376 - Summary Profile

Physical

Medical

Question	Response
Have you or any of your family members been diagnosed with alcoholism or drug addiction? If yes, relation and age affected:	No
Any dietary restrictions? If yes, explain:	No
Do you wear glasses or contact lenses? Are you near or far-sighted?	Yes - Near-sighted
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	Yes - Pollen and dust: Cause sneezing
CMV IgG Antibody	Negative
CMV IgM Antibody	Negative
Note any comments regarding above items:	N/A

Family Medical History
See list of questions asked here

Your Mother

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	Healthy
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	65
Health Problem	Healthy
Living / Dead	Living

Daughters

Your Daughter 1

Question	Response	Comment/Age Affected
Current age or age at death	5
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	70
Health Problem	Heart disease, treated with a pacemaker	63
	Heart attack, fatal, no treatment	70
	Cause of death: Heart attack	70
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	85
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	65
Health Problem	Diabetes, controlled with medication	64
	High blood pressure, controlled with medication	65
	High cholesterol, controlled with medication	65
Living / Dead	Living

Your Mother's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	56
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	67
Health Problem	Diabetes (diet-related), controlled with medication	60
Living / Dead	Living

Your Mother's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	61
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 3

Question	Response	Comment/Age Affected
Current age or age at death	54
Health Problem	Healthy
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	50
Health Problem	Healthy
Health Problem	Cause of death: Accident	50
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	48
Health Problem	Lung cancer (non-smoker), no treatment	47
Health Problem	Cause of death: Lung cancer	48
Living / Dead	Dead

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	75
Health Problem	Overweight (no diagnosis or treatment)	70
Living / Dead	Living

Your Father's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	73
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 3

Question	Response	Comment/Age Affected
Current age or age at death	70
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 4

Question	Response	Comment/Age Affected
Current age or age at death	59
Health Problem	Joint pain, no medical diagnosis, treated with an ointment	56
Living / Dead	Living

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	50
Health Problem	Healthy
Health Problem	Cause of death: Murder	50
Living / Dead	Dead

Height: 170 cm (5'7")	Weight: 97 kg (214 lb)	Eye Color: Black	Hair: Black/ Straight	Skin Tone: Medium	Ancestry: Asian
	Blood Type: B+	Ethnic Background: Indian/Indian
	Education: BTech/Electronics & Comm.		Occupation: Computer Engineer
Interests:	Cartoons, Movies, Speed walking, Video games

Faith	Other
Denomination	Hindu

Donor Number: 5376

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Update Available	N/A
Updates - Personal	N/A
Updates - Medical	N/A
Updates - Family Medical History	N/A

Donor Number: 5376

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here