Professional Documents
Culture Documents
Community: FC / BC / SC / ST / Blood Group: -----------------------Name of Parent / Guardian Address: : ------------------------: Permanent Temporary
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Higher Secondary Examination: Certificate No: -------------------- Date: ------------------Total Marks: ------------- No of attempt: --------Date of Admission: ---------------------------------- Admn. / Regn. No / Year: ----------------------------Scholarship availed: Source: ---------------------- Amount: -------------------- Duration: ---------------------Bank Loan availed: Source: ---------------------- Amount: -------------------- Duration: ---------------------SUBJECTS WITH HOURS OF PLANNED INSTRUCTIONS GIVEN IN ANM NURSING S.NO Subjects No. Of No. of Hrs. as Theory S.NO per INC Hrs Given Subjects No. Of No. of Hrs. as per Theory INC Hrs Given
I-Year 1. 2. Community Health Nursing Health Promotion A. Nutrition B. Human body and Hygiene C. Environmental Sanitation D. Mental Health Primary Health Care Nursing I A. Infection and Immunization B. Communicable Disease C. Community Health Problems D. Primary Medical Care E. First Aid and Referral Child Health Nursing 65 55 35 40 45 75 85 40 60 180 1. 2.
TOTAL
435
3.
180
TOTAL
860
Wks Given
Night duty
S.N
Hrs Given
Year
I 1 Community Health Nursing 2 Health Promotion 3 4 Primary Health Care Nursing I Child Health Nursing TOTAL II 1 2 Midwifery Health Care Management TOTAL 560 60 620 130 220 440 200 990
S.NO Year
Clinical setting
Bed strength
Duration
allotted by INC
Weeks
S.NO Year
Clinical setting
Bed strength
S.N
Duration
VACATION AND HOLIDAYS Type of leave I Year Days II Year Days Annual Vacation Sick Leave Preparatory Leave Extraordinary Leave Leave without stipend S.No Name of the vaccination Date
VACCINATION
WORK ASSESSMENT Assessment Work Grade: A- Excellent, B- V.Good, C- Good, D- Average, E- Poor A : >85%, B-75% to 84%, C- 65% to 74%, D- 50% to 64%, E- <50% I Year II Year
SIGNATURE OF PRINCIPAL UNIVERSITY EXAMINATION MARKS I YEAR Board Examination Regular Pape r Internal- 25 External 75 Internal 100 External 100 200 Internal 100 200 Internal 100 100 External 100 200 Internal 100 External 100 200 Internal 100 External 100 100 External 100 200 Total Subjects Month/Year Theory Supplementary-I Month/Year Supplementary-I Month/Year Regular Month/Year Practical Supplementary-I Supplementary-II Month/Year Month/Year
Total
Total
Total
Total
II
Health Promotion
III
Primary Health Care Nursing I Child Health Nursing Practical2Child Health Nursing
IV
Total
Subjects
UNIVERSITY EXAMINATION MARKS II YEAR Board Examination Regular Theory Supplementary-I Supplementary-I Regular Practical Supplementary- SupplementaryI Paper Subjects Month/Year
Internal- 100 External 100 200
II Month/Year
200 Internal 100 External 100 200 Total
Month/Year
Internal 100
External 100
Month/Year
Internal 100 External 100 200
Month/Year
Internal 100 External 100
Total
Total
Total
Subjects
Midwifery
Practical-I Midwifery
II
Note: certificate will be issued by Kumouan University after successful completion of course.
Certificate Number: ------------------ RN: ---------------------- RM: ---------------------- Date of registration: -------------------Special Notation: -----------------------------------------Aggregate Marks: -------------------------- Division: --------------------- School Rank: ------------------ State Rank: ----------------Distinction: 80% and above, First Division: 70% to 79%, Second Division: 60% to 69% Pass: 50% to 59%
Total