GENERAL CHECK: Mst./Miss of Std_ was given ageneral check-up. | Height cms. Weight kgs. | Chest measurement (i) Normal ems. | (ii) On deep breathing cms. General Examination. You are requested to consult a specialist for your child whose problem is Date Doctor’s Signature EYE CHECK-UP | Mst/Miss of | Std was given an eye check-up. | Vision Right eve. | | | | ! | I | | | I I ! | ! External eye | You are requested to consult a specialist for your child whose problem Doctor's SignatureDENTAL CHECK-UP was given a dental check-up. | He/She has He/She requires . Carious Teeth . Filling . Broken Teeth 1 2. Bonding/Crown Broken Fillings 3. Scaling . Calculus/ Stains 4, Extraction . Crowded Teeth 5 6. 7 . Missing Teeth . Ortho treatment . X-Ray Examination . Space Maintainer . Good Teeth Pit & Fissure Sealant | Please take your child to your family dentist at your earliest convenience |} | for treatment. . Malpositioned Fillings Doctor's Signature. EAR-NOSE-THROAT CHECKUP | MsMiss | of Sta was given a E.N.T. check-up. | Check-up Treatment advised Ears Left | Right | Throat | You are requested to consult a specialist for your child whose problem is Doctor's Signature