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Certification No : Medi-18-30344

Company Name : Ceragon India Pvt.Ltd. Reg.Number : 30344


Patient Name : Mr. VIKRAM SINGH Check-UP-Date: 15.01.2021
Designation : Joining Date :
Emp Code : D. O. B. :
Cont. Name : Age /Sex : 30 MALE
Company Add. : MEERUT Blood Group : O-VE
Certification No : Medi-18-30344 Identify Mark: Nil
Part 2 - Clinical Examination/ Lab test
1 Cardiovascular system BMI 21
Height 173 cm. Weight 62 Kg.
2 Blood pressure - (repeat if necessary)
Systolic / Diastolic 128/69 mmHg -
B. Pulse rate Regular 98 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-VE Hb % - 14.1
RBC - 5.20 TLC - 999
9500
000
Blood Sugar - 85.5 Platelets Count- 3.22 L/C
DLC- P : L: E: M: 000 B :
57 40 1 2 0
Sr. Cholesterol - 134 mg/dl S/Triglycerides - 135 mg/dl
HDL - 38 mg/dl LDL - 127 mg/dl

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

I hereby certify that Mr. VIKRAM SINGH

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 15.01.2021

FOR MEDI-CHECK
Health Services Pvt. Ltd

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