家长联系登记
备注：（1）由保健医生填写。
（2）内容：儿童不良卫生习惯，体弱儿、肥胖儿及各种缺点矫治的家庭配合。儿童身心发育中出现的问题，家长对卫生保健的建议。
出勤统计表
______________年
|
月份 |
在册人数 |
应出勤
人数 |
应出勤
人次数 |
实际出勤人次数 |
出勤率% |
缺勤分析 |
|
病假人次 |
事假人次 |
其他人次 |
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一月 |
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二月 |
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三月 |
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四月 |
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五月 |
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六月 |
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七月 |
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八月 |
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九月 |
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十月 |
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十一月 |
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十二月 |
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合计 |
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使用说明：
1、凡有寒暑假的园所，全年出勤率的统计不包括1-2月和7-8月
2、统计指标：
（1）年出勤率=全年实际出勤人次数/全年应出勤人次数（各月应出勤人次数之和）×100%
（2）月出勤率=当月实际出勤人次数/（当月在册人数×当月出勤人数）×100%
幼儿园消毒登记表
|
日期 |
消毒物物品 |
消毒方式 |
消毒
时间 |
经手人签名 |
|
空气 |
教玩具 |
卧具 |
地面 |
台椅 |
食具 |
生活用品 |
|
紫外线 |
红外线 |
浸泡 |
过氧乙酸 |
次氧酸钠 |
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体格锻炼观察表
_____年_____月_____日 天气： 温度：
|
班级 |
|
姓名 |
|
性别 |
|
年龄 |
|
|
户外活动内容：
|
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观察内容及结果： |
|
脸色 |
表情 |
出汗 |
呼吸特点 |
动作协调性 |
|
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活动前脉搏
次/分 |
活动时脉搏
次/分 |
活动后脉搏
次/分 |
平均脉搏
次/分 |
|
|
5’ |
10’ |
15’ |
20’ |
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实际练习时间 |
活动总时间 |
练习密度（%） |
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评价：
签名：
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意外事故登记册
幼儿园（托儿所）名称：
|
姓名 |
|
性别 |
|
年龄 |
|
班级 |
|
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事故发生时间： |
事故发生时的活动： |
|
事故发生地点： |
|
损伤部位 |
|
损伤恢复时间： |
|
愈后 |
|
当班负责人： |
|
事情经过
|
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处理经过
|
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分析（事故性质）
|
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家长意见
|
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园长意见
|
幼儿园（所）定期体检缺点疾病登记表
年 月
|
班
别 |
受
检
者 |
健
康
者 |
疾
病 |
缺
点 |
疾病 |
缺点 |
|
人数 |
% |
人数 |
% |
人数 |
% |
人数 |
% |
佝偻病活动期 |
肺
炎 |
上呼吸道感染 |
支气管炎 |
哮
喘 |
先天性心脏病 |
重症砂眼 |
中
耳
炎 |
白齿龋齿 |
扁桃体炎 |
重症皮肤病 |
九克以下贫血 |
消化系统疾病 |
|
其他 |
轻度皮肤病 |
鼻
炎 |
结膜炎 |
轻度砂眼 |
切齿龋齿 |
轻度盆血 |
包
茎 |
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其他 |
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预防接种登记表
|
幼儿姓名 |
班级 |
登记日期 |
卡介苗 |
乙肝疫苗 |
婴儿麻糖丸 |
白百破三联疫苗 |
乙脑疫苗 |
流脑疫苗 |
麻疹疫苗 |
甲肝
疫苗 |
风
疹 |
腮腺炎 |
水
痘 |
流
感 |
|
|
|
初种 |
复种 |
第一针 |
第二针 |
第三针 |
I |
II |
III |
加强 |
加强 |
第一针 |
第二针 |
第三针 |
加强 |
加强 |
第一针 |
第二针 |
第三针 |
第一针 |
加强 |
加强 |
初种 |
加强 |
加强 |
第一针 |
第二针 |
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200 年 月入学
预防接种统计表
200 年 月入学
|
年
月 |
卡介苗 |
乙肝疫苗 |
婴儿麻糖丸 |
白百破三联疫苗 |
乙脑疫苗 |
麻疹疫苗 |
流脑疫苗 |
甲肝
疫苗 |
|
|
|
应种人数 |
已种人数 |
接种率% |
应种人数 |
已种人数 |
接种率% |
应种人数 |
已种人数 |
接种率% |
应种人数 |
已种人数 |
接种率% |
应种人数 |
已种人数 |
接种率% |
应种人数 |
已种人数 |
接种率% |
应种人数 |
已种人数 |
接种率% |
应种人数 |
已种人数 |
接种率% |
应种人数 |
已种人数 |
接种率% |
应种人数 |
已种人数 |
接种率% |
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晨检及全日健康观察记录
|
日 期 |
姓 名 |
班 级 |
晨检情况 |
全日健康观察
（症状与体征） |
诊 断 |
处 理 |
检查者 |
|
家长主述与检查 |
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疾病登记册
|
登记日期 |
姓 名 |
性别 |
疾病名称 |
发病日期 |
处理措施 |
痊愈日期 |
记录人 |
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疾病统计表
|
年月日 |
在园
儿童数 |
上呼吸道感染 |
支气
管炎 |
哮 喘 |
肺 炎 |
鼻 炎 |
中耳炎 |
扁桃
体炎 |
结膜炎 |
肠 炎 |
佝偻病 |
缺铁性贫血 |
其 它 |
总发
病数 |
总发病率（%） |
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体弱儿管理登记表
|
姓 名 |
|
性 别 |
|
出生日期 |
|
立案时间 |
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班 级 |
|
诊断（体弱原因） |
|
结案时间 |
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检查日期 |
年龄 |
（患病情况）
症状与体征 |
体格检查与评价 |
治疗与管理措施 |
医生签名 |
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身高 |
体重 |
W/A |
H/A |
W/H |
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转归：痊愈、好转、转医院、未愈
传染病登记表
|
姓 名 |
姓别 |
登记日期 |
传染病名称 |
发病日期 |
处理措施（包括防疫措施） |
痊愈日期 |
记录人 |
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传染病统计表
|
年月日 |
在园
儿童数 |
流感 |
腮腺炎 |
水痘 |
风疹 |
流行性结膜炎 |
麻疹 |
百日咳 |
猩红热 |
痢疾 |
|
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总发病数 |
总发病率（%） |
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幼儿园儿童体检登记表
|
班别： |
|
姓名 |
|
性别 |
|
出生日期 |
|
|
检查日期 |
实足年龄 |
身高（W） |
体重（H） |
W/H
评价 |
视力 |
血色素 |
HAA |
备注 |
|
厘米 |
评价 |
增长 |
合格 |
公斤 |
评价 |
增长 |
合格 |
左 |
右 |
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增长指与去年同期比较，身长≥5CM，体重≥2KG为合格
幼儿各种实用表格，幼儿园健康表格，家长联系登记，出勤统计表，幼儿园消毒登记表，体格锻炼登记表，意外事故登记表，定期体检登记表，缺点矫治登记表，预防接种登记表晨检及全日健康观察表，疾病登记册，疾病统计表，体弱儿管理登记表，传染病登记表传染病统计表，幼儿园儿童体检登记表 |
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