Ref/Initials: Date: General: Comments: Abdominal Comments: Umbilical vessels Hair colour Head Genitalia Eyes Male Female Mouth Anus - Nose Musculoskeletal: Ears Hips: Skin Respiratory: Reflexes: Distinguishing Cardiovascular: features: Normal Referral Other Assessment report completed and attached Ref/Initials: Date: General: Comments: Abdominal Comments: Umbilical vessels Hair colour Head Genitalia Eyes Male Female Mouth Anus - Nose Musculoskeletal: Ears Hips: Skin Respiratory: Reflexes: Distinguishing Cardiovascular: features: Normal Referral Other Assessment report completed and attached Ref/Initials: Date: General: Comments: Abdominal Comments: Umbilical vessels Hair colour Head Genitalia Eyes Male Female Mouth Anus - Nose Musculoskeletal: Ears Hips: Skin Respiratory: Reflexes: Distinguishing Cardiovascular: features: Normal Referral
Date: Ref/Initials: General: Hair colour Head Eyes Mouth Nose Ears Skin Respiratory: Cardiovascular: Comments: Abdominal Umbilical vessels Genitalia Male Female Anus - Musculoskeletal: Hips: Reflexes: Distinguishing features: Normal Referral Other Comments: Assessment report completed and attached Date: Ref/Initials: General: Hair colour Head Eyes Mouth Nose Ears Skin Respiratory: Cardiovascular: Comments: Abdominal Umbilical vessels Genitalia Male Female Anus - Musculoskeletal: Hips: Reflexes: Distinguishing features: Normal Referral Other Comments: Assessment report completed and attached Date: Ref/Initials: General: Hair colour Head Eyes Mouth Nose Ears Skin Respiratory: Cardiovascular: Comments: Abdominal Umbilical vessels Genitalia Male Female Anus - Musculoskeletal: Hips: Reflexes: Distinguishing features: Normal Referral Comments:
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