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    KSA Medical

    Uploaded by

    Akk Kol
    This medical report documents an examination of an individual applying for a position. It includes their personal information like name, nationality, sex, passport details. It documents their medical history, a physical examination checking things like vision, hearing, blood pressure, and any laboratory tests. The doctor concludes whether the individual is fit or unfit for the position based on all the findings being within normal limits or noting any abnormal results and treatments. The report must be certified by health authorities before being submitted.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    KSA Medical

    Uploaded by

    Akk Kol
    207 views1 page
    This medical report documents an examination of an individual applying for a position. It includes their personal information like name, nationality, sex, passport details. It documents their medical history, a physical examination checking things like vision, hearing, blood pressure, and any laboratory tests. The doctor concludes whether the individual is fit or unfit for the position based on all the findings being within normal limits or noting any abnormal results and treatments. The report must be certified by health authorities before being submitted.

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    This medical report documents an examination of an individual applying for a position. It includes their personal information like name, nationality, sex, passport details. It documents their medical history, a physical examination checking things like vision, hearing, blood pressure, and any laboratory tests. The doctor concludes whether the individual is fit or unfit for the position based on all the findings being within normal limits or noting any abnormal results and treatments. The report must be certified by health authorities before being submitted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    207 views1 page

    KSA Medical

    Uploaded by

    Akk Kol
    This medical report documents an examination of an individual applying for a position. It includes their personal information like name, nationality, sex, passport details. It documents their medical history, a physical examination checking things like vision, hearing, blood pressure, and any laboratory tests. The doctor concludes whether the individual is fit or unfit for the position based on all the findings being within normal limits or noting any abnormal results and treatments. The report must be certified by health authorities before being submitted.

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    MEDICAL REPORT

    NAME:

    NATIONALITY:

    SEX:

    PASSPORT NO:

    ISSUE PLACE:

    POSITION APPLIED FOR:

    PHOTO



    AGE:

    MARITAL STATUS:

    ISSUE DATE:

    DEAR SIR / MADAM


    PLEASE, ARRANGE TO EXAMINE THE ABOVE MENTIONED CANDIDATE AS TO HIS/HER FITNESS FOR THE ABOVE MENTIONED POSITION.
    DATE

    ____/ ____ / _____

    RECRUITMENT ATTACHE/OR DOCTOR: _____________________________________________________________________

    HISTORY OF ANY SIGNIFICANT PAST ILLNESS INCLUDING:

    - PSYCHIATRIC AND NEUROLOGICAL DISORDERS (EPILEPSY, DEPRESSION)


    - ALLERGY

    MEDICAL EXAMINATION

    TYPE OF MEDICAL EXAMINATION


    VISION

    EYE

    OTHER

    EAR

    NEGATIVE\
    NORMAL

    R. EYE

    POSITIVE\
    ABNORMAL

    L. EYE

    R. EYE

    - OTHER

    - HELMINTHES

    - SALMONELLA/SHIGELLA

    - V.CHOLERA

    BLOOD PRESSURE

    (BLOOD)

    HEART
    LUNGS

    - OTHER

    - HEMOGLOBIN

    - MALARIA FILM

    ABDOMEN

    - OTHERS

    (SEROLOGY)

    *HERNIA

    - HIV TEST

    *VARICOSE VEINS

    EXTREMITIES

    - F. B. S.

    SKIN

    - HBSAG/ANTI HCV

    (VENEREAL DISEASES

    - L. F. T.

    - CLINICAL
    - LAB

    POSITIVE\
    ABNORMAL

    - SUGAR

    (STOOL)

    PULMONARY TUBERCULOSIS

    (OTHERS)

    NEGATIVE\
    NORMAL

    - BILHARZIASIS

    L. EYE

    L. EAR

    (SYSTEMIC EXAMINATION)

    LABORATORY INVESTIGATION

    - ALBUMIN

    R. EAR

    CHEST X - RAY

    TYPE OF LABORATORY
    INVESTIGATION
    (URINE)

    - CREATININE
    - UREA

    VDRL

    TPHA

    CONFIRM IF THE APPLICATION HAS ONE OF THE FOLLOWING:

    PREGNANCY TEST
    COMMUNICABLE DISEASES

    NO

    YES

    MENTAL DISORDER

    MENTAL RETARDATION
    PHYSICAL DISORDERS

    HANDICAP

    PARALYSIS

    BLINDNESS

    HEARING DISORDER

    SPEECH DISORDER

    MENTIONED ABOVE IS THE MEDICAL REPORT FOR MR / MRS / MISS ________________________________________________________________________ , WHO IS
    [ ] FIT [ ] UNFIT FOR THE ABOVE MENTIONED JOB.
    - TO BE FIT, ALL MEDICAL EXAMINATIONS AND LABORATORY INVESTIGATIONS MUST BE WITHIN NORMAL LIMITS. IN THE EVENT OF AN
    ABNORMAL/POSITIVE RESULT, A TYPEWRITTEN LETTER SIGNED BY THE PHYSICIAN STATING THE CONDITION AND ANY TREATMENT
    IMPLEMENTED. THIS LETTER SHOULD ALSO INDICATE WHETHER THIS CONDITION OR TREATMENT WILL HAVE ANY EFFECT ON THE APPLICANTS
    WORK.
    PHYSICIAN NAME: _____________________________ SIGNATURE: ____________________________
    LICENSE NUMBER: _____________________________
    STAMP:
    THIS FORM MUST BE ATTESTED BY ONE OF THE TWO FOLLOWING AUTHORITIES:

    THIS IS TO CERTIFY THAT DR. _______________________________________ LICENSE NUMBER: _______________________ ,


    IS CURRENTLY LICENSED TO PRACTICE MEDICINE.
    AUTHORIZED SIGNATURE :

    (1)

    DEPARTMENT OF HEALTH
    (2)

    STAMP OR SEAL OF THE STATE AUTHORITY (COLLEGE OF


    PHYSICIANS)

    SUBMIT TO THE CONSULAR SECTION THREE ORIGINALS COPIES OF THIS MEDICAL REPORT AND TWO COPIES OF ALL RESULTS OF THE MEDICAL TESTS.
    DO NOT SUBMIT X-RAYS AS THOSE MUST BE PRESENTED TO THE HEALTH AUTHORITIES IN SAUDI ARABIA ALONG WITH ONE CLEAR COPY OF THIS REPORT AND ALL TEST RESULTS.

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