体温记录表

学生及家庭成员居家体温测量记录表学生姓名：时间学生本人班级：家庭成员日期早7:0036.4家庭成员母亲5/18/2020晚17:0036.136.45/19/2020早7:0036.2父亲36.55/20/2020晚17:0036.436.236.15/21/2020早7:0036.136.236.55/22/2020晚17:0036.436.736.15/23/2020早7:0036.536.136.75/24/2020晚17:0036.736.536.15/25/2020早7:0036.136.136.55/26/2020晚17:0036.436.236.55/27/2020早7:0036.436.136.45/28/2020晚17:0036.236.536.65/29/2020早7:0036.636.136.65/30/2020晚17:0036.036.036.55/31/2020早7:0036.536.536.5晚17:0036.236.536.4早7:0036.136.736.6晚17:0036.236.236.5早7:0036.236.536.3晚17:0036.636.636.6早7:0036.136.536.7晚17:0036.636.636.2早7:0036.236.036.2晚17:0036.636.236.0早7:0036.336.536.3晚17:0036.336.336.3早7:0036.236.636.5晚17:0036.336.236.436.336.236.236.5注：学生及家庭成员每天早、晚各测量一次体温，填写在相应表格内；家庭成员指与学生共同生活人员，（）内填写与学生关系；家庭成员较多者可自行加列。家长签字：年月日