You can see how to fill in the college entrance examination physical examination form correctly.
I. Overview
There are several small boxes in the examinee's physical examination form, and the writing box is a computer identification box. Only one digit can be filled in the box, and Chinese, two digits, dots, slashes and other characters are not allowed. When filling in the numbers, the characters should not be off-line and Lian Bi, the seal should not be crooked, and it should not be covered on the small black blocks on both sides, the writing instruction box and the filled numbers.
Second, the past medical history
Candidates must fill in the form truthfully and must not conceal it. If there is any concealment, it will be treated as cheating after the re-examination of the joint entrance examination. If there is no important medical history, candidates should write a word "none" in this column.
Third, ophthalmology.
1. Naked vision and corrected vision: Fill in the inspection results according to Article 7 of the physical examination operating rules. If the examinee's right eye naked vision is 4.8 and the left eye naked vision is 5.0, fill in: right 4.8 and left 5.0. Can't fill in: 4.8, 5.0. The filling method of corrected vision is the same as that of naked eye vision. The correction degree is filled in the corresponding four boxes, and the first box at the left end can only be filled with "-"or "+"and cannot be empty. If the candidate's correction is-2.00D, fill in -200.
2. Check the color vision with Yu Ziping's color blindness book or other color vision inspection charts. The code corresponding to the name of the color vision inspection chart should be filled in the box. Fill in the color pattern and color digital inspection results. If the color vision is normal, fill in the "normal" code, and the color vision identification box is empty, that is, red □ yellow □ green □ blue □ purple □; If the color vision is abnormal, fill in the "Other" code, then carry out monochrome recognition, and fill in a recognizable color with 1 in the corresponding box; Fill the corresponding boxes with unrecognizable colors with 0. If the examinee can't tell the difference between red and green, fill in the form as follows: red 0 yellow 65438+ green 0 blue 65438+ purple 1.
3. Ophthalmology: If there are other diseases within the scope of ophthalmology, it should be indicated in this column, and those without lesions should write "normal".
Fourth, internal medicine.
1. blood pressure: fill in the blood pressure measurement result (in kpa) in this box. Only one decimal place can be reserved for the blood pressure measurement result, and the integer part of the measurement result should be filled in the two boxes before the decimal point. If it is less than two digits, the first digit at the left end is filled with "0" or the first digit at the left end is empty; Fill in the decimal part in the box after the decimal point. If the blood pressure is an integer, the decimal part is 0.
2. Development: Fill in the codes of "good", "medium" and "poor" in the box.
3. Heart and blood vessels: if there are any changes according to the examination, the "other" code should be filled in, and the details of the changes should be written in the "other" column of the examination of the undergraduate department; If there is no lesion, fill in the "normal" code in the box. For congenital heart disease and atrioventricular septal defect, the cardiac function should be further clarified. Cardiac auscultation is different from the clinical four valves, and it should be listened to all the way along the second, third and fourth ribs of the left sternum to prevent missed diagnosis of congenital heart disease.
4. Respiratory system: If there is any change according to the inspection, the "other" code should be filled in, and the details of the change should be filled in the "other" column of the inspection of this department; Fill in the "normal" code without lesions.
5. Nervous system: fill in the "normal" code without abnormality; If there is any abnormality, the "other" code should be filled in, and the name of the disease should be filled in the "other" column of the department inspection.
6. Abdominal organs: if the liver and spleen are abnormal, write × cm code under the costal margin and write "Other" in the box; If there is no exception, just fill in the "normal" code in the natural box.
7. Others: other diseases within the scope of internal medicine should be stated, and those without lesions should be written as "normal".
Verb (short for verb) surgery
1, height: fill in the centimeters of height measurement in the box in this column (one in each box). If the measurement result is less than three digits, the first digit at the left end of the box is filled with "0" or the first digit at the left end is empty. Height measurement can't keep the decimal part, it will be rounded to the whole number.
2. Weight: Fill in the measured kilograms in this column. If the measurement result is less than three digits, the first digit at the left end of the box is filled with "0" or the first digit at the left end is empty. If the examinee is 176 cm tall and weighs 69 kg, please fill in 176 cm weight 069 kg or 176 cm weight □69 kg. Can't fill in 176 cm weight 69□ kg. Weight measurement can't keep the decimal part, it will be rounded to the whole number.
3. Skin: If there is no abnormality, fill in the "normal" code; If there is any abnormality, the "other" code should be filled in, and the name of the disease should be filled in the "other" column of the department inspection. But if it is tinea versicolor (sweat spot), there is no need to write it in the physical examination form.
4. Face: If there is no abnormality, fill in the "normal" code; If there is any abnormality, the "Other" code should be filled in, and the inspection findings should be indicated in the "Other" column of the department inspection.
5. Neck: If no abnormality is found, fill in the "normal" code; If there is any abnormality, the "other" code should be filled in, and the abnormal findings should be written in the "other" column of the department's inspection.
6. Spine: If there is deformity or scoliosis, the "other" code should be filled in, and the degree of change should be indicated in the "other" column of the department inspection. If there is no abnormality, you should fill in the "normal" code.
7. Limbs: If there is no abnormality, fill in the "normal" code; If there is any change, the "other" code should be filled in, and the inspection findings should be indicated in the "other" column of the department inspection.
8. Joints: those with lesions should fill in the "Other" code, and write down the change and degree in the "Other" column of the department inspection; If there is no change, fill in the "normal" code.
9. Others: Other diseases within the scope of operation should be stated, and those without lesions should be written as "normal". Candidates with physical disabilities should carefully describe the disabled limb, position, nature, function and muscle strength in this column, focusing on whether they can "take care of themselves" and indicate the disability certificate number.
Six, otolaryngology
1. Hearing: Fill in the meters of hearing of the left and right ears in this column. If the measured number cannot fill the box in the column, the first bit at the left end of the box is filled with "0" or the first bit at the left end is empty. If the hearing of the candidate's left ear is 5 meters, fill in: 05 meters or □5 meters, and cannot fill in: 5 meters or 5 meters.
2. Smell: The test results are filled in the box in this column, with normal person 1 and slow person 0. Other numbers and characters cannot be filled in the box.
3. Otolaryngology: If there is no abnormality, fill in the "normal" code; If there is any abnormality, the "other" code should be filled in, and the name of abnormal change or disease should be indicated respectively.
VII. Stomatology
1, lip and palate: no abnormality is found, fill in the "normal" code; If there is any change in the lip and palate, the "other" code should be filled in, and the abnormal findings should be written in the "other" column of the department inspection.
2. Teeth: the missing front teeth are marked with "X", and the "other" code is filled in the box; If there is no abnormality, fill in the "normal" code in this box.
3. Do you stutter? If you don't stutter, just put 1 in this box. If you stutter, you should put 0 in the box in this column. Other numbers and characters cannot be filled in the box.
4. Others: only write abnormal, and write "normal" without abnormality.
Eight, liver function
Candidates who apply for colleges and universities (including higher vocational colleges) should be tested for transaminase (A, L, T) and hepatitis B surface antigen (HBsAg). The test results of transaminase and hepatitis B surface antigen should be filled in this box, normal person 1, abnormal person 2. Other numbers and characters cannot be filled in this box. If there is any abnormality, the inspection result should be clearly stated in the "Other" column. At the same time, the physical examination hospital should sort out the test sheets according to the serial number of the candidates' physical examination from small to large, and the Huanxian Admissions Office will digitize the candidates' physical examination forms, and then load the test sheets and the physical examination forms into the candidates' paper media files.
Nine, chest fluoroscopy
Record the chest fluoroscopy in detail. If there is no abnormality, fill in the "normal" code; If there is any abnormality, you should fill in the "Other" code and write down the diagnosis in the "Other" column.
X. Signature of medical inspector
Physicians in various disciplines who undertake physical examination tasks should sign in the corresponding columns so as not to affect the computer's identification of physical examination information.
Eleven, medical hospitals or medical stations.
The chief physician of the physical examination hospital shall fill in the professional opinions of candidates in the physical examination form according to the physical examination results of doctors in various departments and the Guiding Opinions on Physical Examination for Enrollment of Ordinary Colleges and Universities jointly formulated by the Ministry of Education, the Ministry of Health and the China Disabled Persons' Federation. The corresponding serial numbers of "the situation listed in Article" and "the specialty listed in Article" should be filled in the box. The chief physician of the medical examination hospital should be responsible for the medical examination opinions given to the candidates and sign them, and then affix the official seal (the official seal should be covered in the dotted circle in a fixed position).
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