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School Health Examination Record Template

This document appears to be a form used by schools to record daily medical treatments for students. It collects information such as the date of treatment, patient name and grade, chief complaint, treatment provided, and name and designation of the staff member who administered treatment. Spaces are also provided for the patient's signature and any remarks.

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ann bernasyl vestal
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69 views1 page

School Health Examination Record Template

This document appears to be a form used by schools to record daily medical treatments for students. It collects information such as the date of treatment, patient name and grade, chief complaint, treatment provided, and name and designation of the staff member who administered treatment. Spaces are also provided for the patient's signature and any remarks.

Uploaded by

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

2018 SHD Form 3

Republic of the Philippines


Department of Education
Region ___________________
Division of _____________________
______________________________________________
School Name/ID

RECORD OF DAILY TREATMENT

Chief
Date Name of Patient Grade Treatment Attended by Signature of Patient Remarks
Complaint

Name Designation

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