UNIVERSITI TEKNOLOGI MARA FAKULTI

SAINS KESIHATAN
HS 246 SARJANA MUDA OPTOMETRI (KEPUJIAN)

COURSE CODE : OPT 559

COURSE NAME : CONTACT LENS CLINIC I

PATIENT’S LOG BOOK

Patient’s Name: Date: File No:

Case Summary / Discussion *Please circle ONE (1)

Assessment areas Excellent (4) Good (3) Fair (2) Poor (1) Score
Report was Missing 1-2 non Missing 1-2 vital Missing >2 vital
Breadth & comprehensive vital information in information in the information in the
conciseness and concise the report report report
Findings, diagnosis Findings, diagnosis Findings, diagnosis Findings, diagnosis
and management and management and management are and management
Evidence of are logically linked are logically linked, somewhat linked, with are not linked
critical thinking with no with some lots of unnecessary
unnecessary unnecessary information
information information
Highly readable, Readable, good Readability and Significant
Formatting, neat formatting and formatting and formatting can be improvement is
organization, submitted in less submitted in less improved, and needed on formatting
and adherence than 1 week (Day than 1 week (Day submitted in less than adherence to the
to the deadline 1-7) 1-7) 1 week (Day 1-7) deadline (Day 8-14)
TOTAL MARKS /12

Supervisor’s Name & Signature

Date

NHS 2022