cumulative record by Tanoj patidar Msc Nursing D Y Patil School of Nursing.
Size: 150.08 KB
Language: en
Added: Jan 16, 2021
Slides: 4 pages
Slide Content
D.Y. PATIL SCHOOL OF NURSING
Tanoj patidar | First year M.Sc. Nursing | April 15, 2019
CUMULATIVE RECORD
FIRST YEAR M.SC NURSING
PAGE 1
CUMULATIVE RECORD
1. IDENTIFICATION DATA
Student Name…………………Date of Birth……………….
Age/Sex……………………………Nationality………............
Religion……………………………Category………………… ….
Blood Group………………………………………… ………………
Unique ID/Aadhaar No…………………………………… ….
Name of the Course………………………………………… …...
Date of Commencement of Course………………………………………….
Date of Completion of Course………………………………………………….
Complete Postal Address……………………………………… ………………….
Pin Code…………………. Mobile No…………………. Email Id………
2. FAMILY RECORD:
Type of family………………………….
Fathers Name…………………………Age………………………………………….
Education…………………………… Occupation…………………………………
Mothers Name………………………. Age…………………………………………
Education…………………………… Occupation……………………………… .
Family Income………………………………………………………………………….
2.ACADEMIC RECORD:
Name of class/course Starting Date Leaving Date Grade/Result
S.S.C
H.S.C
Basic B.sc Nursing
M.sc Nursing
4. ATTENDANCE:
Year/Month Possible Actual Nature of Long Absence, if any
PAGE 2
5. CO-CURRICULAR ACTIVITIES:
Activities Sports Personal Hygiene Literary Activities Cultural Activities
First/second Year
6. PHYSICAL/HEALTH DATA:
Year Height Weight Chest BMI
General condition
7. IMMUNIZATION RECORD:
Type of Vaccine First Dose second Dose Third Dose
8.EDUCATIONAL PLANS:
Year Educational plans Counsellor’s Report
9. VOCATIONAL PLANS :
Year Vocational Ambition Counsellor’s Report
10.INTERESTS AND TALENTS:
Interests Talents
11.ACHIEVEMENTS AND AWARDS:
School Basic B.sc Nursing M.sc Nursing
12.RECORDS OF COUNSELLING:
Year Observation Counsellor’s Name