Medi-18-30522: Certification No

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Certification No : Medi-18-30522

Company Name : Ceragon India Pvt.Ltd. Reg.Number : 30522


Patient Name : Mr. DHARMENDRA KUMAR 24-01-21
Check-UP-Date:
Designation : Joining Date :
Emp Code : D. O. B. :
Cont. Name : Age /Sex : 27 MALE
Company Add. : ALLAHABAD Blood Group : B POSITIVE
Certification No : Medi-18-30522 Identify Mark: Nil
Part 2 - Clinical Examination/ Lab test
1 Cardiovascular system BMI 27
Height 164 cm. Weight 72 Kg.
2 Blood pressure - (repeat if necessary)
Systolic / Diastolic 153/87 mmHg -
B. Pulse rate Regular 78 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 - B POSITIVE Hb % - 15.1
RBC - 4.09 TLC - 999
4300
999
Blood Sugar - 83 Platelets Count- 1.87 L/C
DLC- P : L: E: M: 000 B :
65 29 2 4 0
Sr. Cholesterol - 128 mg/dl S/Triglycerides - 132 mg/dl
HDL - 32 mg/dl LDL - 128 mg/dl

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

I hereby certify that Mr. DHARMENDRA KUMAR

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 24.01.2021

FOR MEDI-CHECK
Health Services Pvt. Ltd

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