OUR LADY OF FATIMA UNIVERSITY

Health Assessment
Vital Signs Taking
Student Nurse: _______________________________________ Section: __________________
De
D
sig
a
na Desi
t D
S tio gnati
e ep Clie Clien
. n/ T Date Depa on/
a Nam ar nt's S. Nam Tem t's
Ye e H B and rtme Year RR HR BP
n e/ t R Sig No. e p Signa
N ar m R P Time nt and
d Age m nat ture
o an p Secti
T en ure
. d on
i t
Se
m
cti
e
on

1 1

2 2

3 3

4 4

5 5

6 6

7 7

8 8

9 9

1 10
0
1 11
1
1 12
2
1 13
3
1 14
4
1 15
5
1 16
6
1 17
7
1 18
8
1 19
9
2 20
0
OUR LADY OF FATIMA UNIVERSITY

2 21
1
2 22
2
2 23
3
2 24
4
2 25
5
2 26
6
2 27
7
2 28
8
2 29
9
3 30
0
3 31
1
3 32
2
3 33
3
3 34
4
3 35
5
3 36
6
3 37
7
3 38
8
3 39
9
4 40
0
4 41
1
4 42
2
4 43
3
4 44
4
4 45
5
4 46
6
4 47
7
OUR LADY OF FATIMA UNIVERSITY

4 48
8
4 49
9
5 50
0