Beruflich Dokumente
Kultur Dokumente
Name:
Location/residential address:
Phone number:
Next of kin:
Phone number of next of kin:
DAILY MONITORING OF SYMPTOMS
Symptoms*
No TEMPERATURE Sore Cough Runny Shortness Other
symptoms (o Celsius) throat nose of breath symptom:
(check if specify
none expe-
Day rienced)