vivhr Started The Discussion:
Dear All, Please provide Format of Medical Fitness for the new employee, who needs to fulfill this formality before joining. Regards, Vivek
Posted 12th January 2008 From India, Panipat
attached..
Posted 15th January 2008 From India, Mumbai
Attached Files
File Type: doc medical_format_946.doc (23.5 KB, 10242 views)
SWARUP 
PRE-EMPLOYMENT MEDICAL EXAMINATION


From To
The Human Resources Department Senior Medical Officer
Kindly examine Mr/ Mrs./Miss ……………………………………..who is being considered for our employment at our Life Spring Hospitals.

Date : Signature

PHYSICAL EXAMINATION

Height ……………… Weight : ………………..

Chest Expansion
Inspiration Expiration :

BLOOD PRESSURE :

Lying Standing :

Anemia Jaundice Lymphadenopathy Edema

SYSTEM EXAMINATION :
Respiration :

CVS :

CNS :

ABD :

PAST HISTORY : Asthma, Heart Disease , TB, Hepatitis, Chicken pox, Depression,
Major psychiatric disorder, Epilepsy, Drug and alcohol dependence,
Any other…etc.

Allergy : Any Medication Latex

PRESENT STATUS ON INVESTIGATIONS :

REMARKS : FIT/ UNFIT/ TEMPORARILY UNFIT.


SIGNATURE OF THE DOCTOR WITH DATE :


NAME OF THE DOCTOR ((in block letters)):
Posted 28th January 2008 From India, Hyderabad
Thanks for input.we should also include the registration number of the certifying medical officer.
Posted 20th July 2010 From India, Ahmadabad



 
 
 
 







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