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tanvi school medical form

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The Orbis School HEALTH RECORD- B To be certified by a registered Medical Practitioner Date of physical examination …………………… Height………………………………. Weight……………………….. Vision L…………………R …………………… Squint…………………… Conjunctiva…………………….. Cornea……………… B.P. ………………………….. Pulse…………………… Ear L ……………………………. R………………………………….. Clinical Examination Normal Recommendation Head/Neck Abdomen Nose /Throat Oral Health Nails Skin Summary of Current Health condition: _____________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Query Yes/ No Comment Fit to participate in age specific physical activity? Fit to participate in age specific physical activity with precaution? Can participate in competitive sport? Name of the Doctor………………………………..Signature/Date/Seal …………………………………………………

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Tanvi School Medical Form

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  • The Orbis School HEALTH RECORD- B

    To be certified by a registered Medical Practitioner

    Date of physical examination Height. Weight.. Vision LR Squint Conjunctiva.. Cornea B.P. .. Pulse Ear L . R..

    Clinical Examination Normal Recommendation

    Head/Neck

    Abdomen

    Nose /Throat

    Oral Health

    Nails

    Skin

    Summary of Current Health condition: _____________________________________________ ____________________________________________________________________________ ____________________________________________________________________________

    Query Yes/ No Comment

    Fit to participate in age specific physical activity?

    Fit to participate in age specific physical activity with precaution?

    Can participate in competitive sport?

    Name of the Doctor..Signature/Date/Seal


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