Reproductive Resources

Identification # RR276		Pregnancy Proven Yes
Physical & Personal Characteristics
Date of Birth (Y) 1973	Place of Birth Czechoslovakia
Height 6'1"	Weight 189
Eye Color Brown	Complexion Fair
Hair Brown, Wavy	Right Handed X	Left Handed
Religion Born Into Roman Catholic	Married No
Heritage Czech, Croation, Italian, Greek, Gypsy	Occupation Graduate Student in Architectural Engineering	Years of College 6
Interests sports, reading, travel
Notes

Test Results
Blood Type O+	HIV 1/2 Ab Nonreactive
Chlamydia Nonreactive	HTLV-1,2 Ab Nonreactive
Chromosome analysis Normal Male 46 XY	Neisseria gonorrhea No Growth
CMV Screen Positive	SGPT Normal
CMV, IgM/Culture Nonreactive	Sickle cell Not Applicable
Cystic Fibrosis Noncarrier of Common Mutations	Syphilis, antibody Nonreactive
HbsAg Nonreactive	Tay Sachs & Canavan Not Applicable
HbcAb Nonreactive	Hepatitis C, Ab Nonreactive
Thalassemia Normal Adult Hemoglobin	HCVRNA/HIV-1 RNA Not Done Prior to 2004
Notes

Donor & Family Health History
Medical Problem	Donor	Relative
Heart	None	Paternal Grandfather: heart attack, high blood pressure, hardening of the arteries
Blood	None	Cousin: anemia
Respiratory	None	None
Gastrointestinal	None	Mother: ulcer
Metabolic/Endocrine	None	None
Urinary	None	None
Genital/Reproductive System	undescended testicle	None
Neurological	None	Aunt: migraine heachaches
Mental Health	None	None
Muscles / Bones / Joints	None	None
Sight / Sound / Smell	None	None
Skin	None	None
Other	None	Grandmother: cancer

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