From "vivhr" : Dear All, Please provide Format of Medical Fitness for the new employee, who needs to fulfill this formality before joining. Regards, Vivek
12th January 2008 From India, Panipat

attached..
15th January 2008 From India, Mumbai
Attached Files
File Type: doc medical_format_946.doc (23.5 KB, 10457 views)
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)):
28th January 2008 From India, Hyderabad

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