1. First, record the specific time and place of the visit. Briefly explain the purpose of seeing a doctor, such as understanding the living conditions, health conditions and needs of the elderly. Fill in the name, age, gender, address and other basic information of the elderly. Record the living conditions of the elderly, such as living conditions, family members, economic conditions, etc.

2. Secondly, record the health status of the elderly, such as medical history, drug use and physical condition. Record the needs and problems of the elderly, such as life difficulties, medical needs, psychological needs, etc.

3. Finally, record the results of the visit, such as whether the problem of the elderly has been solved and whether follow-up is needed. Record the names and signatures of visitors.