Created by us.meta.llama3-2-11b-instruct-v1:0 on 2025-06-01

The image depicts a vintage "School Physician's Daily Report" form, titled "BOARD OF HEALTH, Fitchburg" at the top, with the subtitle "DIVISION OF SCHOOL INSPECTION. SCHOOL PHYSICIAN'S DAILY REPORT." The form is dated 1911 and features a grid layout with various sections for recording information.

Key Sections:

• Arrival and Departure: Lists the names of students who arrived and departed the school on a given day.
• Exclusions: Records the reasons for which students were excluded from school, including illnesses such as scarlet fever, measles, and whooping cough.
• Total Found Among Absentees: Lists the number of students absent from school on a given day, categorized by room and reason for absence.
• Action Taken: Provides space for the school physician to note any actions taken in response to the absences or exclusions.

Additional Information:

• The form includes a section for recording the date, time, and room number of each student's arrival and departure.
• A table at the bottom of the page lists various diseases and defects, such as deafness, poor nutrition, and tonsils, with checkboxes for each condition.

Overall:

The image provides a glimpse into the daily operations of a school physician's office in the early 20th century, highlighting the importance of tracking student attendance and health issues. The form's layout and content suggest a focus on maintaining accurate records and ensuring the health and well-being of students.

Created by us.meta.llama3-2-90b-instruct-v1:0 on 2025-06-01

The image depicts a vintage school physician's daily report form, dated 191, from the Board of Health in Fitchburg. The form is designed to track student absences and health issues, with sections for recording the date, school, time of arrival and departure, room, teacher, and total number of students absent.

Exclusions Section:

• A table lists various diseases or conditions that may exclude a student from school, including:
  • Infectious diseases (e.g., diphtheria, scarlet fever, measles)
  • Skin conditions (e.g., impetigo, ringworm)
  • Respiratory issues (e.g., whooping cough, pneumonia)
  • Gastrointestinal problems (e.g., diarrhea, dysentery)
  • Other conditions (e.g., pediculosis, trachoma)

Total, Found among Absentees Section:

• A section for recording the total number of students absent due to each condition listed in the exclusions table

Additional Information Section:

• Spaces for recording additional information, such as:
  • Defects (e.g., hearing, vision, teeth)
  • Adenoids or orthopedic defects
  • Tonsils
  • Notes to parents

Remarks Section:

• A section for recording any additional remarks or comments related to the student's health or absence

Overall, this form provides a comprehensive way for school physicians to track student health and absences, helping to identify potential health issues and prevent the spread of diseases within the school community.

Created by amazon.nova-pro-v1:0 on 2025-05-31

The image is a document titled "BOARD OF HEALTH, Fitchburg. DIVISION OF SCHOOL INSPECTION. SCHOOL PHYSICIAN'S DAILY REPORT." The date at the top of the document is "191," which likely refers to the year 1910, although the exact year is not fully visible.

The document appears to be a form used by a school physician to report on the health status of students within a school setting. The form is divided into several sections:

1. Header Information:

   • "Date" is at the top left, followed by the year "191."
   • "School Physician, Dist." is on the top right.
   • "School" is on the left side, below the date.

2. Main Body:

   • The main body of the document is a table labeled "EXCLUSIONS."
   • The table has columns for various health-related exclusions, including:
     • "Diphtheria"
     • "Scarlet Fever"
     • "Measles"
     • "German Measles"
     • "Chicken Pox"
     • "Whooping Cough"
     • "Tuberculosis"
     • "Mumps"
     • "Pneumonia"
     • "Acute Tonsilitis"
     • "Influenza"
     • "Trachoma"
     • "Ringworm"
     • "Smallpox"
     • "Impetigo"
     • "Favus"
     • "Mumps (Parotitis)"
     • "Non-Vaccinations"
     • "Total Examinations"
     • "Physical Examinations"
     • "Physical Examinations Number Ill"
     • "Visits to Hospital"

3. Additional Sections:

   • Below the table, there are sections for recording:
     • "Time"
     • "Arrived"
     • "Departed"
     • "Room"
     • "Teacher"
   • There is a section for "Total" and "Found among absentees."

4. Individual Student Information:

   • There is a section for recording individual student details, including:
     • "Room"
     • "Name"
     • "Address"
     • "Disease"
     • "Age"
     • "Action Taken"

5. Remarks and Additional Notes:

   • There is a section labeled "REMARKS" at the bottom of the document.
   • Additional notes include categories such as "Defect. Hearing," "Defect. Vision," "Defect. Teeth," "Adenoids," "Tonsils," "Poor Nutrition," "Nervous Diseases," "Mental Defects," "Orthopedic Defects," "No Disease," "Reinspections," "Readmitted," "Notes to Parents," "Vaccinations," "Miscellaneous Diseases," and "Sanitation: clean, fair, need attention."

The document is a comprehensive record used by school physicians to monitor and report on the health conditions of students, ensuring that any necessary actions are taken to maintain the health and safety of the school population.

Created by amazon.nova-lite-v1:0 on 2025-05-31

The image is a historical document titled "BOARD OF HEALTH, Fitchburg." It is a SCHOOL PHYSICIAN'S DAILY REPORT from the Division of School Inspection. The document is dated 191, and it contains a table with various health-related categories for students, including their names, addresses, diseases, ages, and actions taken. The table includes columns for different health issues such as measles, whooping cough, tuberculosis, and others. The document also includes sections for remarks and notes to parents. The purpose of this document is to track and report on the health status of students in the school, likely for public health monitoring and intervention purposes.