Professional Documents
Culture Documents
NCR/MIMAROPA
Weight ___________ ( )
Height ___________ ( )
HC ______________ ( )
CR __________ RR __________
BP __________ Temp _________
Birth weight: ________ _____ y/o G____ P___ delivered at ____________ c/o _______________
FAMILY HISTORY:
NUTRITIONAL HISTORY:
DEVELOPMENTAL HISTORY:
IMMUNIZATION HISTORY:
PHYSICAL EXAMINATION:
Chest/Cardiac:
Lungs:
Abdomen:
Genitalia:
Upper Extremities:
Lower Extremities:
Neurologic exams:
Skin:
Investigations done:
SUMMARY:
IMPRESSION:
PLAN:
___________________________________
M.D.