Dear All, Please provide Format of Medical Fitness for the new employee, who needs to fulfill this formality before joining. Regards, Vivek
From India, Panipat
6From India, Panipat
PROFESSIONALS AND BUSINESSES PARTICIPATING IN DISCUSSION
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)):
From India, Hyderabad
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)):
From India, Hyderabad
Medical Reimbursement Format.doc
Format Meanings.txt