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  • Past Health History Present Health Status: School: - (Check Column If Applicable)

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    MARIAN DARASIN
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    This document appears to be a health history form for a school, asking for information about a student's past and present health status. It requests information such as age, blood pressure, smoking history, and whether the student has conditions like hypertension, asthma, diabetes, allergies, tuberculosis, or cardiovascular diseases. It also has columns to check if the student has had issues like cough, dizziness, chest pain, joint pain, blurred vision, painful urination, hearing loss, or goiter in the past or present. There is also a section to note any surgeries or other health details.

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    SHs Healt Card

    Original Title

    consolidated-health-card

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    This document appears to be a health history form for a school, asking for information about a student's past and present health status. It requests information such as age, blood pressure, smoking history, and whether the student has conditions like hypertension, asthma, diabetes, allergies, tuberculosis, or cardiovascular diseases. It also has columns to check if the student has had issues like cough, dizziness, chest pain, joint pain, blurred vision, painful urination, hearing loss, or goiter in the past or present. There is also a section to note any surgeries or other health details.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views1 page

    Past Health History Present Health Status: School: - (Check Column If Applicable)

    Uploaded by

    MARIAN DARASIN
    This document appears to be a health history form for a school, asking for information about a student's past and present health status. It requests information such as age, blood pressure, smoking history, and whether the student has conditions like hypertension, asthma, diabetes, allergies, tuberculosis, or cardiovascular diseases. It also has columns to check if the student has had issues like cough, dizziness, chest pain, joint pain, blurred vision, painful urination, hearing loss, or goiter in the past or present. There is also a section to note any surgeries or other health details.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    School: ________________________________________

    (CHECK COLUMN IF APPLICABLE)

    PAST HEALTH HISTORY PRESENT HEALTH STATUS


    Surgical Others
    Designa BP (Use Hyper Diabetes Cardiovasc Allergy Tuber Cough Dizzi Chest/ Joint Blurring of Wering Painful Poor/ fain Convulsi Vaginal Opera (specify, add
    NAME Age tion previous Smoking tension Asthma mellitus ular (specify) culosis (duration) ness Back pains Vision eyeglasses Urina loss ting Goiter on Dis tion colum if
    records) Diseases Pain tion hearing charge
    (Specify) needed)

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