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FAMILY HEALTH HISTORY

NAME: Moise Divina Gracia Sr.


AGE: 64
GENDER: Male
RACE/NATIONALITY: Asian/Filipino
ADDRESS: St. Kalubihan Qiout, Cebu City

Family’s Diseases:

1. Diabetes Miletus- his relative w/ maintenance (Diabetic type 2)

2. High Blood/Hypertension- father, sibling (His father died at the


age of 57) (sibling w/ maintenance)

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