Scribd
Upload
356 views1 page

Name: Region/Division: Date of Birth: Address: School Address: Laguile, Taal, Batangas Name of Parent/Guardian

This document is a school health examination card from Governor Vicente Noble Memorial Elementary School in Taal, Batangas, Philippines. It contains fields to record a student's personal information, immunization history, medical examinations of various body systems across multiple grades, and notes on any illnesses, abnormalities, or required follow up. The card allows for comprehensive documentation of a student's health and development over several years at the school.

Uploaded by

kristine
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
356 views1 page

Name: Region/Division: Date of Birth: Address: School Address: Laguile, Taal, Batangas Name of Parent/Guardian

This document is a school health examination card from Governor Vicente Noble Memorial Elementary School in Taal, Batangas, Philippines. It contains fields to record a student's personal information, immunization history, medical examinations of various body systems across multiple grades, and notes on any illnesses, abnormalities, or required follow up. The card allows for comprehensive documentation of a student's health and development over several years at the school.

Uploaded by

kristine
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Republic of the Philippines

Department of Education
Region IV – A CALABARZON
Division of Batangas
District of Taal
GOVERNOR VICENTE NOBLE MEMORIAL ELEMENTARY SCHOOL
SCHOOL HEALTH EXAMINATION CARD

Name: Region/Division:
Date of Birth: Address:
Name of Parent/Guardian: School Address: Laguile, Taal, Batangas
GRADE IMMUNIZATION
Pre- I II III IV V VI RECEIVED AND DATE
Elem GIVEN
Date of Examination
Weight (kg.)
Height
Vission (Snellen’s Chart
Hearing
Nutritional Status
Skin and Scalp
Eyes
Ears
Nose
Mouth
Throat
Neck
Heart
Lungs
Extremities
Other illness ( Identify)
Remarks
Examined by

Skin and Eyes and Ears Nose and Throat and Heart and Extremities Nutritional Remarks
Scalp Mouth Neck Lungs Status
a. Pediculosis a. Granular a. colds/ a. Enlarged a. Normal a. Abnormal a. Normal a. Referred
b. Tinea flava eyelids cough tonsils b. RF/RHD b. Deformities b.Mild b. Treated
c. Scabies b. Inflamed b. Dirty b. Enflamed c. CVD congenital c. Moderate c. Further
d.Ulcers eyes teeth throat d. Asthma or acquired d.Severe evaluation
e. Minor c. Squinting c. Defective c. Enlarged e. Primary c. Others e. Overweight d. Observation
injuries eyes teeth glands complex (specify)
f. Ringworm d. Pale d. Stomatitis d. Goiter f. Others
g. Skin allergy conjunctiva e. Cleft e. Others (specify)
h.Others e. Discharging palate (specify)
(specify) ears f. Harelip
f. Impacted g. Defective
cerumen speech
i. Others h.Others
(specify) (specify)

Note: Use letter to record ailments.

You might also like