幼儿园个人档案范本
姓名:_______________ 性别:_______________ 生日:_______________
家庭住址:______________________________________________________
父亲姓名:_________________ 职业:_________________ 电话:_________________
母亲姓名:_________________ 职业:_________________ 电话:_________________
其他紧急联系人:_________________ 电话:_________________
医疗记录:
过敏史:__________________________________________________________
药物过敏:________________________________________________________
疾病史:__________________________________________________________
接种疫苗记录:
接种时间 接种疫苗名称 剂次 备注
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
营养记录:
早餐时间 早餐内容 中餐时间 中餐内容 晚餐时间 晚餐内容
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
其它说明:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
家长签名:_____________________________ 日期:___________________
幼儿园宝宝档案
姓名:__________________ 性别:________________ 生日:_________________
家庭住址:_________________________________________________________
父亲姓名:_________________ 职业:_________________ 电话:_________________
母亲姓名:_________________ 职业:_________________ 电话:_________________
其他紧急联系人:_________________ 电话:_________________
医疗记录:
过敏史:__________________________________________________________
药物过敏:________________________________________________________
疾病史:__________________________________________________________
接种疫苗记录:
接种时间 接种疫苗名称 剂次 备注
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
日常记录:
日期 起床时间 早餐内容 中餐内容 下午茶内容 晚餐内容 睡觉时间
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
活动记录:
日期 活动名称 活动内容 教师评价 家长评价
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
其它说明:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________