Patient Admittance Form ### Asylum du Mal Idees
GIVEN NAME ### |
Babydoll |
AGE AND SEX ### |
20, F |
SPECIES ### |
Human |
ORIGIN ### |
Smalltown America, Sucker Punch |
FAMILY ### |
deceased |
OCCUPATION ### |
dancer |
FORM OF INSANITY ### |
schizophrenia |
SUPPOSED CAUSE ### |
trauma - mother's death |
INDICATIVE FACTORS ### |
threatened father with gun, goes into trances |
DANGEROUS TO OTHERS ### |
potential |
DANGEROUS TO SELF ### |
not so far |
DESTRUCTIVE TO PROPERTY ### |
yes - pyromaniac |
STATE OF BODILY HEALTH ### |
decent, underweight |
IDENTIFYING FEATURES (IF ANY) ### |
none |