Pink,
For me it is a matter of being physically judged. What about if it said "homely" or "not very attractive" female. I agree that weight, dress, education, physical attractiveness are all things that affect social status and overall mental health.

We just have to remember, the information contained in medical records is there for medical reasons not to make us feel good or bad. Typically they are just simply medical facts or clinical conclusions. They are intended to document care rendered and facilitate communicate among medical professionals, not for us review and critique. What is written may have a totally different meaning for medical professional than it does for the untrained (layperson).