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Gcc

The document is a medical examination report for a candidate, detailing personal information, examination results, and laboratory investigations. It includes assessments of visual acuity, hearing, and various systemic examinations along with their findings. The report concludes with a determination of the candidate's fitness for a job according to GCC criteria.

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0% found this document useful (0 votes)
3 views2 pages

Gcc

The document is a medical examination report for a candidate, detailing personal information, examination results, and laboratory investigations. It includes assessments of visual acuity, hearing, and various systemic examinations along with their findings. The report concludes with a determination of the candidate's fitness for a job according to GCC criteria.

Uploaded by

rumana5as
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Medical Center Name G.H.

C Code No:
Address: GCC Slip No:
Phone: Fax: Date Examined:
Email: Report Expiry Date:
CANDIDATE INFORMATION
Name Age Nationality
Photo
Gender Marital Status Profession
Passport No Place of issue Travelling To
Medical Examination: General Investigation
Height Weight Kgs BMI Chest X-Ray
cm
B.P / Pulse /min RR Laboratory Investigation
/min
Unaided Aided TYPE OF LAB INVESTIGATION RESULTS
Visual Acuity
Rt. Eye Lt. Eye Rt. Eye Lt.Eye BLOOD GROUP
Distant /6 /6 /6 /6 HAEMOGLOBIN
Near 20/20 20/20 20/20 20/20 THICK FILM FOR
Cooler Vision Normal Doubtful Defective 1. MALARIA
Hearing Rt. Ear Lt. Ear 2. MICRO FILARIA
BIOCHEMISTRY
Medical Examination: Systemic Findings R.B.S
GENERAL APPEARANCE L.F.T.
CARDIOVASCULAR CREATININE
RESPIRATORY SEROLOGY
ENT HIV I & II
GASTRO INTESTINAL: HBs Ag
ABDOMEN (Mass, tenderness) Anti HCV
HERNIA VDRL Positive
GENITOURINARY TPHA Positive
HYDROCELE Treatment Name
MUSCULOSKELETAL Dosage
EXTREMITIES Date
BACK URINE
SKIN SUGAR
C.N.S ALBUMIN
DEFORMITIES STOOL
MENTAL STATUS EXAMINATION ROUTINE
A. Appearance HELMINTHES
Speech OVA
Behavior CYST
B. Cognition: OTHERS
Orientation VACCINATION STATUS
Memory TYPE STATUS DATE
Concentration Polio YES/NO
C. Mood MMR 1 YES/NO
D. Thoughts MMR 2 YES/NO
OTHERS: Meningococcal YES/NO
Remarks

Dear Sir/Madam,
Mentioned above is the medical report for Mr./Miss ______________________ who is FIT/UNFIT for the
above mentioned job according to the GCC Criteria.
BAR CODE

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