Fill in the village-level health inspection and evaluation record form with the inspector’s information and inspection and evaluation content. Fill out the village-level health inspection evaluation record form as follows:

1. In the first line of the form, fill in the inspection date and the name of the inspector.

2. In the second line, write the inspection and evaluation content, such as the specific inspection content of certain villages, and write the score at the end.

3. Final signature and seal.