政治大學自主健康管理學生體溫及健康狀況記錄表The Personal Health Record For the NCCU Students

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親愛的同學您好,請於每日上午及下午,登錄您的體溫及健康狀況記錄表,以利身心健康中心老師追蹤關懷,如您有發燒(口溫體溫≥37.5度)或身體不適請立即通報校安人員(0919-099-119)由校內人員依照政府規定通報並送指定醫院就醫.

Dear NCCU students,
Please make a note on your health condition mornings and afternoons every day. The nurses in the Physical and Mental Health Center of NCCU will keep track of and care for your health condition. Please call immediately the military instructor on duty on 0919-099-119 when you are running a fever (oral temperature≥37.5 C), or your body is feeling uncomfortable. You will be reported to CDC and taken to an assigned hospital in accordance with the policies of Taiwan.
政治大學學務處關心您的健康
NCCU Office of Student Affairs care for your health

姓名Name *

學號Student ID number *

手機號碼Mobile phone number *

體溫登錄日期Date when body temperature measured *

YYYY

體溫登錄時段Time when body temperature measured *

上午Morning

下午Afternoon

體溫(口溫)Oral temperature (Celsius degree) *

發燒(口溫體溫≥37.5度)Fever (oral temperature≥37.5 C) *

無 NO

有 YES

流鼻水.鼻塞 Having a running nose or having a stuffy nose *

無 NO

有 YES

咳嗽 Cough *

無 NO

有 YES

呼吸困難 Difficulty in breathing *

無 NO

有 YES

嗅.味覺異常 Loss of smell or taste *

無 NO

有YES

腹瀉 Diarrhea *

無 NO

有YES

全身倦怠 Physical fatigue *

無 NO

有 YES

四肢無力 Weak limbs/ lack of strength in limbs *

無 NO

有 YES

當日就醫 Did you visit a clinic or a hospital today? *

無 NO

Other:

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