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  • Cumulative Health Record GNM 1st Year

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    Coolsun Sunny
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    This document is a cumulative health record for a patient that includes sections on their family health history, personal health history, and immunization record. The family health section lists any diseases that run in the family and details on family members' ages and any causes of death. The personal health section outlines any illnesses during childhood or after age 12, physical disabilities, allergies, use of corrective lenses, and information about menstruation for females. The immunization record charts the dates of initial and booster doses received for vaccines such as BCG, hepatitis B, tetanus, chicken pox, and others.

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    Cumulative Health Record Gnm 1st Year

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    This document is a cumulative health record for a patient that includes sections on their family health history, personal health history, and immunization record. The family health section lists any diseases that run in the family and details on family members' ages and any causes of death. The personal health section outlines any illnesses during childhood or after age 12, physical disabilities, allergies, use of corrective lenses, and information about menstruation for females. The immunization record charts the dates of initial and booster doses received for vaccines such as BCG, hepatitis B, tetanus, chicken pox, and others.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views2 pages

    Cumulative Health Record GNM 1st Year

    Uploaded by

    Coolsun Sunny
    This document is a cumulative health record for a patient that includes sections on their family health history, personal health history, and immunization record. The family health section lists any diseases that run in the family and details on family members' ages and any causes of death. The personal health section outlines any illnesses during childhood or after age 12, physical disabilities, allergies, use of corrective lenses, and information about menstruation for females. The immunization record charts the dates of initial and booster doses received for vaccines such as BCG, hepatitis B, tetanus, chicken pox, and others.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    CUMULATIVE HEALTH RECORD

    NAME…………………………………….SEX………………….DATE OF ADMISSION…………………………………………

    ADDRESS……………………………………………………………….

    ………………………………………………………………..

    DATE OF BIRTH……………………………………………………….PROGRAMME OF STUDY……………………………

    A. FAMILY HEALTH RECORD

    FAMILY MEMBERS AGE. Disease in the family If any one dead


    (Diabetes,Hypertension,
    Heart disease, Mental
    Disease,Epilepsy,TB, Date:
    Leprosy etc.) cause:

    Father

    Mother
    Siblings(Specify
    Brothers or Sisters)

    B. PERSONAL HEALTH RECORD

    1. Illness during childhood(0-12 years) 5. Use of spectacies (Specify eye


    defect
    2. Subsequent illness (After 12yrs) and the age when started using)

    3. Physical Disability: 6. If Female- Menstural periods


    Cause : a. Age when started
    b. Frequency
    c. Duration
    4. Allergy d. Pain during cycle YES/NO
    a. Type of reaction
    b. Causes of allergy
    (Drug,Food,Cosmetics,dust-specify.
    Mention seriousness of reaction)
    C.IMMUNISATION Date Date Date Booster Dose
    I Dose II Dose III Dose Date Date Date Date
    BCG
    Hepatitis B
    Tet. Toxoid
    Chicken pox
    Others

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