A. BASIC DATA:
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1. a) Height b) Weight 2. Chest measurements a) Normal b) Expanded 3. Abdomen measurements 4. Blood Pressure 5. Skin 6. Ear, Nose & Throat 7. Vision 8. Respiratory system 9. Circulatory system 10. Nervous system 11. Gastro-intestinal system 12. Genito-urinary system 13. Serious illness or operation in the past 14. Colour Blindness
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1. Chest X-ray 2. ECG 3. Complete blood count 4. Urine routine 5. Serum colesterol & blood urea 6. Fasting and post prandial blood sugar 7. Blood group
D. FAMILY HISTORY
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E. CONCLUSION
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Certified that the above named recruit does not appear to be suffering from any disease communicable or otherwise, constitutional weakness or bodily infirmity except __________________________________. I do not consider this as disqualification for employment in the Company.
Date Place
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