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School Health Assessment Form

The document is a physical assessment form for a student at Teerthanker Mahaveer College of Nursing in Moradabad, India. It collects information such as the student's name, age, gender, family details, and date of assessment. It then lists body parts and systems to examine and record findings for things like head, face, eyes, ears, nose, mouth, dental, neck, chest, abdomen, back, extremities, bowel functions, bladder functions, height, weight, and BMI. Spaces are also provided to note any congenital abnormalities, signs of protein energy malnutrition, and for the student and supervisor signatures.

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Vaishali Singh
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1K views1 page

School Health Assessment Form

The document is a physical assessment form for a student at Teerthanker Mahaveer College of Nursing in Moradabad, India. It collects information such as the student's name, age, gender, family details, and date of assessment. It then lists body parts and systems to examine and record findings for things like head, face, eyes, ears, nose, mouth, dental, neck, chest, abdomen, back, extremities, bowel functions, bladder functions, height, weight, and BMI. Spaces are also provided to note any congenital abnormalities, signs of protein energy malnutrition, and for the student and supervisor signatures.

Uploaded by

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

TEERTHANKER MAHAVEER COLLEGE OF NURSING

MORADABAD
PHYSICAL ASSESSMENT FORM
Name of the Village/Area:

School :

Name of the student :

Age :

Gender :

No. of Brothers :

No. Of Sisters :

Date of Assessment :

PHYSICAL ASSESSMENT
Assessment Findings
Head
Face
Eyes/Vision
Ears
Nose
Mouth
Dental
Neck
Chest
Abdomen
Back
Extremities
Bowel Functions
Bladder Functions
Height in Cms
Weight in kgs
BMI
Any sign of Congenital abnormalities:..............................................................................

Any signs Protein Energy Malnutrition:.............................................................................

Sign of the student: Sign of the supervisor:

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