MEDICAL REPORT
Reg.No. HS201906120003
MEDICAL EXAMINATION
(√) Normal or (x) Abnormal
Height : 168 Cm Blood Pressure : 120/80 mmHg
Weight : 54 Kg Pulse : 76 x / mnt
MEDICAL HISTORY
1. HIV / AIDS (No) 7. Heart Disease (No) 13. Epilepsy (No)
2. Tuberculosis (No) 8. Hypertension (No) 14. Psychiatric Problem (No)
3. Malaria (No) 9. Diabetes (No) 15. Hearing Proble (No)
4. Leprosy (No) 10. Peptic Ulcers (No) 16. Hepatitis (No)
5. Veneral Disease (No) 11. Kidney Disease (No) 17. Rheumatism (No)
6. Asthma (No) 12. Tumor (No) 18. Other State (No)