School Health Assessment Form
School Health Assessment Form
School Health Assessment Form
AGRA, UP
SCHOOL HEALTH ASSESSMENT FORM
Name of the Village/Area:
School :
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