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    Farm Tocli

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    Pankaj Maithani
    This medical certification document provides the results of a physical examination for Mr. Rajeev, a 32-year-old male employee of Ceragon India Pvt. Ltd. The examination found Rajeev to be in good health with normal vital signs, hearing, vision, neurological functions, and laboratory test results. He was deemed fit for working at heights but not for electrical work, material lifting, or four-wheeler driving. The examination was performed on January 14, 2021 by Dr. Pradeep V. Mahajan.

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    Farm Tocli

    Uploaded by

    Pankaj Maithani
    36 views3 pages
    This medical certification document provides the results of a physical examination for Mr. Rajeev, a 32-year-old male employee of Ceragon India Pvt. Ltd. The examination found Rajeev to be in good health with normal vital signs, hearing, vision, neurological functions, and laboratory test results. He was deemed fit for working at heights but not for electrical work, material lifting, or four-wheeler driving. The examination was performed on January 14, 2021 by Dr. Pradeep V. Mahajan.

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    This medical certification document provides the results of a physical examination for Mr. Rajeev, a 32-year-old male employee of Ceragon India Pvt. Ltd. The examination found Rajeev to be in good health with normal vital signs, hearing, vision, neurological functions, and laboratory test results. He was deemed fit for working at heights but not for electrical work, material lifting, or four-wheeler driving. The examination was performed on January 14, 2021 by Dr. Pradeep V. Mahajan.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    36 views3 pages

    Farm Tocli

    Uploaded by

    Pankaj Maithani
    This medical certification document provides the results of a physical examination for Mr. Rajeev, a 32-year-old male employee of Ceragon India Pvt. Ltd. The examination found Rajeev to be in good health with normal vital signs, hearing, vision, neurological functions, and laboratory test results. He was deemed fit for working at heights but not for electrical work, material lifting, or four-wheeler driving. The examination was performed on January 14, 2021 by Dr. Pradeep V. Mahajan.

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    of 3

    Certification No : Medi-18-30334

    Company Name : Ceragon India Pvt.Ltd. Reg.Number : 30334


    Patient Name : Mr. RAJEEV Check-UP-Date: 14.01.2021
    Designation : Joining Date :
    Emp Code : D. O. B. :
    Cont. Name : Age /Sex : 32 MALE
    Company Add. : BAREILLY Blood Group : O POSITIVE
    Certification No : Medi-18-30334 Identify Mark: Nil
    Part 2 - Clinical Examination/ Lab test
    1 Cardiovascular system BMI 19
    Height 168 cm. Weight 55 Kg.
    2 Blood pressure - (repeat if necessary)
    Systolic / Diastolic 122/84 mmHg -
    B. Pulse rate Regular 82 Irregular -
    C. Heart sounds Normal √ Abnormal -
    D. Peripheral pulses Normal √ Abnormal -
    3. Chest/Lungs Normal √ Abnormal -
    4. Abdomen (Liver) Normal √ Abnormal -
    5. Neurological/Locomotor
    A. Cervical spine rotation Normal √ Abnormal -
    B. Back movement Normal √ Abnormal -
    C. Upper limbs
    Appearance Normal √ Abnormal -
    Joint movements Normal √ Abnormal -
    D. Lower limbs
    Appearance Normal √ Abnormal -
    Joint movements Normal √ Abnormal -
    E. Reflexes Normal √ Abnormal -

    F. Romberg’s sign Normal √ Abnormal -

    A pass requires the ability to maintain balance while standing with shoes off, feet together side by side, eyes closed
    and arms by sides, for 30 seconds

    6. Hearing (Doctor's judgement) Normal √ Abnormal -

    7. Vision Test (Doctor's judgement) NORMAL


    8. Routine Urine Examination Albumin - Absent Sugar - Absent
    :
    9. Routine Blood examination HAEMOGRAM -
    Blood Group - O POSITIVE Hb % - 14.1
    RBC - 5.29 TLC - 6600
    999
    Blood Sugar - 82 Platelets Count- 2.46 L/C
    DLC- P : L: E: M: B:
    59 38 1 2 0
    Sr. Cholesterol - 128 mg/dl S/Triglycerides - 135 mg/dl
    HDL - 39 mg/dl LDL - 130 mg/dl

    FOR MEDI-CHECK
    Health Services Pvt. Ltd
    Part 3- Certificate of Physical fitness

    I hereby certify that Mr. RAJEEV

    has been examined by us, we cannot discover that he / she has got any disease,

    communicable or otherwise, constitutional or bodily deformity except N.A. …………...

    Candidate is hereby declared,

    √ - -
    FIT UNFIT TEMPORARILY UNFIT

    for the post of


    1) Working on Height - √
    2) Electrical work - -
    3) Material lifting - -
    4) Four wheeler Driving - -

    Vertigo Test - No Giddiness, No any other Abnormality seen during test.

    Doctor’s full name - Dr. Pradeep V. Mahajan


    Seal & Signature -
    Registration number - 53369
    Date of examination 14.01.2021

    FOR MEDI-CHECK
    Health Services Pvt. Ltd

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