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Pupil Health Record Card

Printed on buff 100# tag stock with black ink, 8-1/2”x11”.

These health records help keep track of student:

  • Address/Phone Numbers
  • Emergency Contact
  • Physician/Hospital
  • Parents/Guardians
  • Special Health Problems
  • Immunizations
  • Basic Health, Vision and Dental Records
  • Plus Room for notes on back side.

U/M
PKG
Manufacturer#
TRIO Group Pupil Record
KCDA/SKU#
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