Initial Assessment

Chief Complain

Date & Time                                                                                                                                 
Fever
Loss of Smell
Diarrhoea
Facial Deformity
Cough
Loss of Taste
Weakness
Breathlessness
Loss of Appetite
Power Loss in Limbs
Sore Throat
Vomitting
Slurred Voice
Nausea
Loss of Appetite
Delusion
Fits of Anger
Depression
Memory Loss
Bleeding Disorder
Migraine
Frequent Urination
Swollen Join
Weight Gain
weight loss
Body pain
Physical Injury
Other Symptoms