Patient General Assessment - Physiopedia
Patient Assessment Form GENERAL PATIENT HISTORY: Remarks: ADDRESS (Province-District) : PHONE N°: PATIENT AGE: F M Diagnosis: 1. Civil Status Single Married Number of children: 2. Job & Occupation Armed forces Farmers, fisherman Non qualified worker Technician Can write Office workers Retired Unemployed & not active Student 3. Education level Can read Class: 4. History of the trauma/illnes
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