Changchun Foreign Language School Student Health Monitoring Card

Release Time：2021-08-07 16:00

长春外国语学校学生健康监测卡

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Changchun Foreign Language School Student Health Monitoring Card
Grade		Gender		Current Address			Current physical condition
Name		Age		co-residents			Contact Information
Travel time during summer vacation		Travel mode Flight number or train number		Arrival Location			Peer staff
Return to Changchun Time		Return to the mode of transport flight number or train number		Return to Changchun quarantine site			Return to Changchun isolation time
Contact history with confirmed and suspected cases		Contact history with middle and high risk areas such as Zhangjiajie, Nanjing and Zhengzhou		Whether I or my family members have suspected or confirmed cases			Whether stranded in medium-high risk areas
Fill in the following daily
Date	Body temperature (℃)		Health status (fill in yes/no)		Travel and Return Time		Transportation	Peer staff
			fever	Cough	Travel time	Return Time
			Above 37.3 ℃	Weakness	Travel time	Return Time
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Requirements for filling in the health monitoring card: 1. This health card will be recorded from August 1, 2021 until it is registered. 2. Monitor body temperature twice a day, once in the morning and once in the afternoon, and try to keep the time as fixed as possible. 3.30 minutes before measuring body temperature, try to avoid strenuous exercise, eating, drinking hot and cold water, bathing or hot and cold compress. 4. If the measured value is a little higher than the normal range, there may be errors, and the average value can be measured multiple times. 5. If there is any abnormality, contact the community or hospital, report to the school, and report it step by step. 6. This form should be filled in truthfully. If any concealment or misreporting is found, it will be held accountable in accordance with the "Notice of Changchun Public Security Bureau on Severely Cracking down on 12 types of illegal and criminal acts endangering epidemic prevention and control in accordance with the law.








	Student Signature:			Date of submission:
	Student Signature:			Date of submission:
	Signature of parents: