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Gram: CENBOSEC, Delhi-92

Email: cbsedli@nda.vsnl.net.in
Website: www.cbse.nic.in

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CENTRAL BOARD OF SECONDARY EDUCATION
(An Autonomous Organization under the Union Ministry of Human Resource Development, Govt. of India)
“Shiksha Sadan”, 17, Institutional Area, Rouse Avenue, Delhi-110002.

CBSE/ACAD/AEO (L)/2012 February 24, 2012

Circular No: 15

All the Heads of Institution

Affiliated to CBSE,

Subject: Verification of the Immunization Records of students in schools affiliated to CBSE

Dear Principal,

As you are aware that many thousands of cases of deadly communicable diseases which occur in
India can be prevented and many hundreds of lives could be spared if the methods which already have
proved highly effective in checking the spread of communicable diseases can cover each child in the
relevant age group.

Vaccinations (like the OPV vaccine) are given as a series of shots, not just one single dose. Some
students may have missed getting all the required shots. Not getting a full course of a vaccine leaves a
child unprotected and still at risk for getting a disease. Other vaccinations require a booster shot every few
years to ensure that the level of immunity remains high. Therefore a strict schedule of vaccination ought
to be followed for adequate protection and high level of immunity. Unprotected children may spread the
disease especially in schools where large numbers of students are together in close quarters. The
successes of government plans like the Universal Immunization Programme also depend on the level of
awareness that can be generated through various measures.

In view of the above facts the CBSE has incorporated a format for verifying the record of
immunization that a child has been subjected at the time of admission in school in the Health Manual
Volume-I Page No-78-79(Annexure ‘A’). CBSE has published Health Manuals in four volumes which
have been revised in 2010 to include issues regarding sanitation, hygiene, environmental protection,
safety, emergency medical services, CCE in context of Health and Physical Education, Eco Clubs, Health
and Wellness Clubs, Scientific Skills, CCE School based assessment certificate and PEC cards.

There are two formats also given in the same manual regarding format of Health Cards. The first
one is in the form of a child's Health History which the school may take at the time of admission so that

Central Board of Secondary Education February 24,2012 Page 1 of 8

the School has a record of the child's Health status. The second format (Health Manual Volume I Page No
80-81- Annexure ‘B’) is more general and needs to be periodically updated to keep a record of the
continuous Health status of the child through school.

It is also categorically mentioned in the Manual that aatt no stage should the school consider any
externall Examination or referral without taking the parents into confidence. Establishing good health
practices is essential but keeping the parents aware and informed and taking their consent and approval at
every step is even more so. For each parent the health of the child is of paramount importance and their
support will be assured.

The CBSE’s Affiliation ByeBye-laws

laws (June 2009, P 31, xxv) also, inter alia, state that among the
duties of the Heads of the school, they must also be concerned with promoting the ph
physical
ysical well being of
the pupil ensuring high standard of cleanliness and health habits and arranging periodical medical
examinations of the students and sending Medical reports to parents or guardian.

It is once again requested that schools must encourage immunization of students and observe
utmost sincerity in verifying the Immunization Record of each student admitted in the school. Schools
must also discuss the immunization records of students with parents for a timely remediation, if needed.
This will help the country in controlling and even eradicating infectious diseases
diseases.

Yours Sincerely,

(Dr Sadhana Parashar)

Director (Training)
Copy to:

1. The Director of Education, Govt. of NCT of Delhi, Old Secretariat, Delhi

Delhi-110054.
2. The Commissioner, Kendriya Vidyalaya Sangathan, 18, Institutional Area, Shaheed Jeet Singh Marg, New Delhi- Delhi
110016.
3. The Commissioner, Navodaya Vidyalaya Samiti, A A-28, Kailash Colony, New Delhi-110048.
4. The Director, Central Tibetan School Administration, ESS Plaza, Sector
Sector-3, Rohini, Delhi-85
5. The Additional Director General Director General of Army Education, A A-Wing,
Wing, Sena Bhawan, DHQ-PO,
DHQ New
Delhi.
6. The Secretary & Director Education, Govt. of Sikkim, Gangtok(Sikkim)
Gangtok(Sikkim)-737101.
7. The Director of Education, Andaman and Nicobar Islands, Port Blair-744101.
8. The Director of School Education, Govt. of Aurnachal Pradesh, Civil Sectt. Ita nagar
nagar-70111,
70111, Arunachal Pradesh.
9. The Director of Public Instruction, Chandigarh Administration, Sector
Sector-9, Chandigarh-160017.
10. All the Directors of CBSE, Delhi.
11. E.O. to Chairman, CBSE, DELHI
12. All the Regional Officers of the CBSE,
13. All the Education Officers of the CBSE, DELHI.
14. Joint Secretary (IT), CBSE with a request to put the circular on the Website.

AEO

Central
entral Board of Secondary Education February 24,2012 Page 2 of 8
 Annexure-A

School Health Record

_______________________________________________________________________
___________________________________________________________
____________________________________________________

General Information

Name: ………………… Admission No: …………………………

Father’s Guardian’s Name & Address:……………

Date of Birth: …………………….. __________________________________________

__________________________________________

_____________________________________

Phone No. Office: …………………………………

Residence : ……….......... Mobile: ………………..

Note: The schools before implementing the Health Cards may consult a local Registered Medical
Practitioner.

Central Board of Secondary Education February 24,2012 Page 3 of 8

 Name of the School Logo etc.
___________________________________________________________________________________

_____________________________________________________________________________

______________________________________________________________

BOTH SIDES OF THIS FORM TO BE SUBMITTED AT THE TIME OF ADMISSION

Name of the Student ........................................................................... M/F ……................Class...................

Date of Birth ................................................................................ Blood Group .............................................
Father's Name ………………............................... Mother's Name ……………...........................................

_________________________________ VACCINATIONS _________________________________

Immunization Age Recommended Due Date Date

BCG 0-1 Month
Hepatitis B At Birth
1 Month
6 Month
DPT 2 Months
3 Months
4 Months
HB 2 Months
3 Months
4 Months
Oral Polio At Births
1 Months
2 Months
3 Months
4 Months
Measles 9 Months
MMR 16 Months
DPT+OPV+HIB 18 Months
Typhoid 2 Years
Hepatitis A (2 Doses) 2 Years
Chicken Pox After age 1 year
DT – OPA 4½ Year
___________________________BOOSTER DOSES___________________________

Typhoid (every 3 years)

TT (every 5 years)

Other Vaccines

Signature of Father ...............................……………………….Signature of Mother .............................

Central Board of Secondary Education February 24,2012 Page 4 of 8

 HEALTH HISTORY
ALLERGY TO ANY FOOD, ADHESIVE TAPE, BEE STING

Allergy What Happened How Severe Medication Taken at the Time of Allergy

• Does the child have any problem during physical activity ………………………………………………

Signature of Father …………………............................................ Signature of Mother.............................

To be certified by a Registered Medical Practitioner

Date of physical examination...................................................... Height ………............... Weight.............

B.P.............................................. Pulse …………….................. Vision L ………............... R....................

Squint.................................. Conjunctiva……………............ Cornea……............. Ear L......... R..............

Clinical Examination Normal Recommendation

Head/Neck
Abdomen
Surgery
Serious Illness
Nails
Skin

Summary of Current Health Condition, _____________________________________________________

_____________________________________________________________________________________
_____________________________________________________________________________________

• Fit to Participate in age specific physical activity _______________________________________

• Fit to participate in age specific physical activity with precaution __________________________
______________________________________________________________________________
• Should not participate in competitive sport ___________________________________________

Signature of Doctor ……………………

Name of the Doctor…………………

Central Board of Secondary Education February 24,2012 Page 5 of 8

 ………………….
General Appearance
Weight Kg.
Actual Percentile
Height Cms
Actual Percentile
Eye Vision R. E.
L. E.
Squint
Conjunctiva
Cornea

Rt. Lt.
Ears :
External Ear
Middle Ear

ORAL CAVITY
GUMS
Colour
Teeth Occlusion
Caries
TONSILS
Lymph Nodes
Pulse

B.P.

Nails

Skin

Muscle, Skeletal
System Knee/Flat
Feet/Lordosis/Kyphosis

Systemic Examination

Central Board of Secondary Education February 24,2012 Page 6 of 8

 Annexure-B

School Health Card – II

Name: ____________________________________Class____________________________________

Age____________________________________ Sex ____________________________________

Address:_____________________________________________________________________________

Phone No: :__________________________________________________________________________

Blood Group:_________________________________________________________________________

The Major Parameters On Which The Annual Medical Checkups Done Are:
Dental _________________________________________________________________

Eyes ___________________________________________________________________

General Cleanliness ______________________________________________________

Systemic Examination _____________________________________________________

Allergy (if any): _________________________________________________________

Date of Examination: ____________________________________________________

Past/Family History: ______________________________________________________

GENERAL:

Height: ________________________ Weight: _________________________________

Nails: __________________________________________________________________

Hair: ___________________________________________________________________

Skin:__________________________________________________________________

Anemia: (Mild , Moderate, Severe or Absent)___________________________________

Ear: ___________________________________________________________________

Nose: __________________________________________________________________

Throat: ________________________________________________________________

N ec k: ____ ________ ________ _______ ________ ________ ________ ______

DENTAL EXAMINATION:

i. Extra-oral____________________________________________________________

ii. Intra-oral

Central Board of Secondary Education February 24,2012 Page 7 of 8

a) Tooth cavity_____________________b) Plaque______________________________

c) Gum inflammation________________d) Stains______________________________

e) Tarter__________________________ f) Bad breath___________________________

g) Gum bleeding____________________h) Soft tissue___________________________

SYSTEMIC EXAMINATION

Respiratory System: ___________________________________________________________________

Cardio vascular system _________________________________________________________________

Abdomen: ___________________________________________________________________________

Nervous System: ____________________________________________________________

Eyes : _____________________________________________________________________

Right__________________ Left_______________________________________________

Important findings: _________________________________________________________

Remarks: __________________________________________________________________

Medical officer's name and signature ___________________________________________

Follow up : ________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Signature: ________________________ Date : __________________________________

Designation: ______________________ Place : __________________________________

Name: ____________________________________________________________________

Central Board of Secondary Education February 24,2012 Page 8 of 8