Donor Categories

ID# RR364

ID# Heritage Blood Type Eye Color Hair Complexion Height Weight Years of College Occupation
RR364 Indian A+ Brown Black, straight Medium, Asian 5'11" 160 8 Graduate Student in Marine Engineering
Identification #RR364 Pregnancy Proven – Yes
Physical & Personal Characteristics
Height 5’11” Weight 160
Eye Color Brown Complexion Medium, Asian
Hair Black, straight Right Handed X Left Handed
Religion Born Into Hindu Married No
Heritage Indian Occupation Graduate Student in Marine Engineering Years of College 8
Interests Tennis and jogging
Notes Standard and Prewashed vials available.
Test Results Test Results
Blood Type A+ HIV 1/2 Ab & HIV 1 Ag Nonreactive
Chlamydia Negative HTLV-1,2 Ab Nonreactive
Chromosome Analysis Normal Male 46XY Neisseria gonorrhea Negative
CMV Screen Positive SGPT Within normal limits
CMV, IgM/Culture Negative Sickle cell Not applicable
Cystic Fibrosis Noncarrier of 51 Common Mutations Syphilis, antibody MHA-TP Nonreactive
HbsAg Nonreactive Tay Sachs & Canavan Not applicable
HbcAb Nonreactive Hepatitis C, Ab Nonreactive
Thalassemia Normal adult hemoglobin HCVRNA/HIV-1 RNA Nonreactive/Nonreactive
Notes
Donor & Family Health History
Medical Problem Donor Family
Heart None None
Blood None None
Respiratory None None
Gastrointestinal None None
Metabolic/Endocrine None None
Urinary None None
Genital / Reproductive None None
Neurological None None
Mental Health None None
Muscles / Bones / Joints None None
Sight / Sound / Smell None None
Skin Acne Mother and Brother – Acne
Other None None
Family History
Family Member Occupation Level of Schooling
Mother Homemaker High School
Father Small Business Owner High School
Family Member Age if Living Age at Death Cause of Death
Mother 50
Father 55
Maternal Grandmother 70
Maternal Grandfather 75
Paternal Grandmother 80 Old Age
Paternal Grandfather 55 Accident
Sisters
Brothers 21
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