{{-- Student Biodata --}} {{-- School Health Physician --}} {{-- Nutritionist History & Evaluation Section --}} {{-- Psychologist History & Assessment Section --}}

S.no	GrNo	Name	dob	class	B-Form Number	Age	Gender	School Name	Date	Contact Number	Emergency Contact Number	Type Of Encounter	Chief Complaints	History of Presenting Complaints	Review of Systems	General	Eyes	Ears Nose And Throat	Teeth	Cardiorespiratory	Gastrointestinal	Genitourinary	Neuromuscular	Endocrine	Hematologic	Rheumatologic	Skin	Investigations Laboratory Test Reports	Medication History	Allergies	Past Medical History	Past Surgical History	Birth History	Immunization History	Growth Development Puberty Changes	Nutrition History	Family History	Personal Social History	Blood Pressure	Blood Pressure Result	Blood Pressure Diastolic	Blood Pressure Diastolic Result	Temperature	Temperature Result	Pulse Rate	Pulse Result	Respiratory Rate	Respiratory Rate Result	Weight	Weight Result	Height	Height Result	BMI	BMI Result	General Appearance	Skin	Lymph Nodes	Head	Eyes	ENT	Chest	Heart	Abdomen	Extremities	Neurologic Examination	Problem List	Impression	Provisional Diagnosis	Investigations Recommended	General Advice	First Aid Given	Follow Up Required	Reason For Follow Up	Follow Up Date	Internal Referrals	External Referrals	Reason For Referral	Height	Height Result	Weight	Weight Result	BMI	MUAC	Ideal Body Weight	Physical Activity Level	Estimated Energy Requirement	Daily Protein Requirement	Daily Carbohydrate Requirement	Daily Fat Requirement	Daily Fluid Requirement	Chief Complaints	History of Presenting Complains	Past Medical History	Medication Supplements Allergies History	Family History	Personal Social History	Food Allergies and Intolerances	Appetite	Recent Weight Changes Weight History	Breakfast	Breakfast Detail	Mid day Snack	Mid Day Snack Detail	Lunch	Lunch Detail	Evening Snack	Evening Snack Detail	Dinner	Dinner Details	Bed Time Snack	Biochemical Laboratory Test Reports	Skin	Eyes	Lips	Nails	Hair	Scalp	Problem List	Impression	Provisional Diagnosis	General Advice	Diet Breakfast	Diet Snack	Diet Lunch	Diet Dinner	Diet Bedtime	Follow Up Required	Reason For Follow Up	Follow Up Date	Internal Referrals	External Referrals	Reason For Referrals	Identifying Personal Information	Referral Source	Chief Complaints	History Of Presenting Complaints	Investigations Laboratory Test Reports	Past Medical Psychiatric History	Medication History Allergies	Family History	Personal Social History	Appearance Behavior	Attitude Toward The Examiner	Speech	Mood	Affect	Thought Process Content	Perceptions	Delusions	Cognitive Function	Insight	Judgement	Impulsivity	Reliability	Problem List	Impression	Provisional Diagnosis	General Advice	Follow Up Required	Reason for Follow Up	Follow Up Date	Internal Referrals	External Referrals	Reason for Referral	Follow Up	Enter by	Action

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