Reproductive Resources

Identification # RR365*		Pregnancy Proven Yes
Physical & Personal Characteristics
Date of Birth (Y) 1980	Place of Birth India
Height 6'0"	Weight 194
Eye Color Brown	Complexion Fair, Asian
Hair Black, Straight	Right Handed X	Left Handed
Religion Born Into Hindu	Married No
Heritage Indian	Occupation Engineering	Years of College 6
Interests reading, books, puzzles, soccer and cricket
Notes

Test Results
Blood Type O+	HIV 1/2 Ab Nonreactive
Chlamydia Negative	HTLV-1,2 Ab Nonreactive
Chromosome analysis Normal Male 46 XY	Neisseria gonorrhea Nonreactive
CMV Screen Positive	SGPT Normal
CMV, IgM/Culture Nonreactive	Sickle cell Not Applicable
Cystic Fibrosis Noncarrier of 51 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 Nonreactive
Notes

Donor & Family Health History
Medical Problem	Donor	Relative
Heart	None	Grandparent: high blood pressure; Uncle & Cousin: heart attack
Blood	None	Grandparent: anemia
Respiratory	None	Grandparent & Uncle: hay fever
Gastrointestinal	None	Uncle: ulcer
Metabolic/Endocrine	None	Maternal Grandfather: diabetes (not insulin dependant)
Urinary	None	None
Genital/Reproductive System	None	None
Neurological	None	Grandmother: migraines
Mental Health	None	None
Muscles / Bones / Joints	None	None
Sight / Sound / Smell	None	None
Skin	Acne as teenager	Siblings & Cousins: non-scarring acne as teenagers
Other	None	None

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