Neon High school
Home Sitemap



 
Quick Links :
Academic related Information
Activities
Fee Structure & Related Data
Health Related Information
Personal details
Time Table / Syllabus
School Calendar
Details on Financial Assistance
Quiz
Poll
Online Survey
Student Area Home
 
Welcome: Student Name Logout

Health Related Information

General

Name

Name
DOB 28/11/1976
Gende Male           Female
Height  Weight
Ethnicity / Race             Birth Marks / Scars
Blood / RH Type +B
Father’s Name Test
Medical History
  Date of Onset   Date of Onset
Acquired Immunodeficience Syndrome (AIDS)Or HIV Positive:  

High Blood Pressure

 
Arthritis   Hypoglycemia 06/09/2005
Asthma 12/09/2004 Jaundice  
Bronchitis   Kidney Disease  
Cancer   Low Bllod Pressure  
Chlamydia   Mental Retardation  
Diabetes   Pain or Pressure in Chest  
Dizziness   Palpitations  
Emphysema   Periods of Unconsclousness  
Epilepsy   Rheumatic Fever  
Eye Problem   Rheumatism  
Fainting   Seizures  
Frequent or Severe Headache   Shortness of Breath  
Glaucoma   Stomach, Liver, or Intestinal  
Gonorrthea   Problems  
Hearing Impairment   Syphillis  
Heart Condition   Tuberculosis  
Hemodialysis   Tumor  
Herpes   Thuroid Problems  
High Blood Cholesterol   Urinary Tract Infection  
    Other  
Infectious Diseases

Disease

Age

Date

Remarks

Chicken Pox

 

 

 

Hepatitis

 

 

 

Measles

 

 

 

Mumps

 

 

 

Pertussis / Whooping Cough

 

 

 

Pneumonia

 

 

 

Polio

 

 

 

Rubella

 

 

 

Scarlet Fever

 

 

 

Other

 

 

 

Allergies /Drug Sensitivities

Allergy/Sensitivity Type (include medications, foods, environmental, or other)

Reaction

Date Last Occurred

Treatment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

<Previous | Next >