Page 154 - ISWK Calalendar 2021
P. 154
INDIAN SCHOOL INDIAN SCHOOL
AL WADI AL KABIR AL WADI AL KABIR
Library Books Issued /Returned MEDICAL RECORD OF CHILD
GR No: ----------------------------------------- Name of Student: ---------------------------------------------- I. Is there any special area of medical concern relating to your child?
1. Book/books borrowed against this GR No. must be returned on or before the date marked below. Please describe below so that special precautions may be taken
2. Book/books transaction should only be in the library period.
-----------------------------------------------------------------------------------------------------------------------------------
3. Children of Std. V to XII are eligible to borrow book/books from the library
-----------------------------------------------------------------------------------------------------------------------------------
Sl Returned
No. Acc. No. Title Due Date Sign (Lib) -----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
2. Is your child allergic to any kind of substance? Please specify:
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
3. Is your child on any medication? Please give details:
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
4. Please provide the prescribing / attending Doctor(s) name and telephone number
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
Important Note:
• Please do NOT send any medication to school with your child. This may inadvertently be
consumed by other children.
• Please do NOT send your ward to school when he/she is sick.
146 SCHOOL ALMANAC 2021 -2022 SCHOOL ALMANAC 2021 -2022 147

