HEALTH RECORD
Name in Full : Hong, Kill Dong
Sex : Female
Date of Birth : May 22, 1984
Resident ID No. : 991212-1212121
Address : #123, Kwanchul-dong, JongRo-gu, Seoul, KOREA
Name of Father : Ko, Kyung Sik
Blood Type : B Type, Rh +
1. Vaccination Record
Name of Vaccination Date of Vaccination
Diphtheria 4 year-old
Whooping cough 4 year-old
Tetanus 4 year-old
Typhoid July 16, 1993
Influenza Nov.7, 1991 / Nov.14, 1991 / Nov.4, 1993 / Nov.13,1993
Infantile Paralysis 4 year-old / Oct. 8, 1991
Japanese Encephalitis 3 year-old / May 3, 1991 / Apr 16, 1992
May 11, 1993 / Apr. 15, 1994
B.C.G 1 year-old
Anti-Hepatitis Inoculation 3 year-old
Grippe Oct. 19, 1995
Epidemic Hemorrhagic Fever Oct. 7, 1995
3. Oral Cavity and pathologic test
Year 1 2 3 4 5 6
Number of Tooth to be cured 6 8 6 5 4
Number of Tooth has been cured 2
Tooth to be pulled 1 2
Mouth Cleaning Good Good Good Good Good
Tooth Disease None None None None None
Tooth Order Good Good Good Good Good
Other None None None None None
4. Physical Test
Year 1 2 3 4 5
Height(cm) 127.8 132.4 137.6 141.3 150
Weight (Kg) 29 35 37.5 45.5 52
Girth of the chest (cm) 62.5 68 85.0 80 83
Sitting Height (cm) 68 70 73.2 75 77.8
Backbone Type Normal
Chest Type Normal
Eye Sight (Left) 1.2 0.9 1.2
(Right) 1.2 1.0 1.0
Bending Matter None
Color Ability Good Good Good Good
Eye Disease None None None None
Hearing Matter None None None None None
Ears Disease None None None None None
Neck Disease None None None None None
Speaking Matter None None None None None
Allergy Matter None None None None None
Other Disease None None None None None
Date of test 91.5.23 92.5.26 93.5.21 94.5.25 95.5.1
5. Strength Test
5
100m Running (Second) 19.9
Jump Far Away (cm) 168
600
800 (Minutes & Seconds) 3'3"
1,000
Throwing (m) 55
Chin-Up (Number) 4
Pick Upper Body Up (Number) 26
Strength Grade 4
This is to certify that the above description is correct.
/S/Official Seal Affixed
Inchon Dambang Elementary School
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