Medical Report
Medical Report
Medical Report
YB/0033/P)
This is to certify that the above named has undergone medical examination of fitness with the
following findings
B. MEDICAL HISTORY
C. PHYSICAL EXAMINATION
D. LAB0RATORY INVESTIGATION
Haemoglobin:____________________________________________________________________________________
Blood Group:_____________________________________________________________________________________
Elisa Test:________________________________________________________________________________________
Urine Analysis:______________Sugar____________Protein_______________Microscopy______________
Stool Microscopy: _______________________________________________________________________________
Comment_________________________________________________________________________________________
Signature/Date:__________________________________________________________________________________
Name of Medical Officer:________________________________________________________________________
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