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
12th January 2008 From India, Panipat

attached..
15th January 2008 From India, Mumbai
Attached Files
Shared By Cite.Community Member "ambikakamath" For Public Download
File Type: doc medical_format_946.doc (23.5 KB, 10289 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)):
28th January 2008 From India, Hyderabad
Thanks for input.we should also include the registration number of the certifying medical officer.
20th July 2010 From India, Ahmadabad



 
 
 
 







Disclaimer: This network and the advice provided in good faith by our members only facilitates as a direction towards the actions necessary. The advice should be validated by proper consultation with a certified professional. The network or the members providing advice cannot be held liable for any consequences, under any circumstances.

About Us - Advertise - Contact Us - RSS   On Google+  
Privacy Policy | Disclaimer | Terms Of Service
Facebook Page | Follow Us On Twitter | Linkedin Network