Medical Form

ANNUAL HEALTH RECORD OF THE STUDENT


In case of emergency, person to be contacted:

Does your ward suffer from any kind of allergy:

Does your ward suffer from any kind of chronic disease e.g. Asthma, Diabetes, Heart diseases, others:

Please mention if you ward has undergone any kind of surgery

Is your ward on any kind of regular medication:

I hereby declare that my ward is:

Certified by Doctor

NOTE:

This form needs to be duly filled by the parent and submitted at the time of admission

Parents need to inform about the child’s major health problems during the year.