MEDICAL REPORT AMI Hospital Dar es Salaam

Date: 18/04/2012

Re: Mr.:

JorgeEscobar

F /31yrs

Past History of: Heart LBBB The above patient On examinx!tion: Chest: clear RR 17 x min CVS: 51 52 regular heart beat tachycardia 52 per min Bradycardia
i

has come for MEDICAL CHECK UP

No edema CNS: Conscious, well alert. All reflexes normal Lab Test: CBC/ WBC - 5 700::ell CRP: Normal MPs: Negative Widal: Normal Urine: Nonral values, Electrolytes: Glucose: 8:.rng/d~ 229 mg/ds Normal Lipid profile: Cholesterol Renal profile: Normal

Liver Function: Test Normal Urine: Normal Stress ECG Normal, ECG Bradycardia PSA Test: Ni~gativEI Free T3, T4 and TS -I Normal
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, Jaime Hernandez M.D Physician Medical Director

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Humberto

MEDICAL REPORT AMI Hospital Dar es Salaam

Date: 18/04/2012

X-ray department

reports Not Remarkable

Chest X - ray: Essentially Abdominal

US: Essentially Not Remarkable

Conclusion: Healtl,y Adult

Humberto

Jaime Hernandez M.D Physician Medical Director

MEDICAL REPORT AMI Hospital Dar es Salaam

Date: 18/0412012

Re: Mr.:

Manuela

Rodriguez

F /31yrs

Past History of:

The above patient has come for MEDICAL CHECK UP

On exarnin.

II I:

Chest: clear RR 17 x min CVS: 51 52 regularheart Abdomen: No edema CNS: Conscious, well alert. All reflexes normal
I" Jrll

beat tachycardia

52 per min Bradycardia

,.;'rness

Lab Test:
CBC/ WBC - 5 700 cell CRP: Normal MPs: Negative Widal: Normal Urine: Norr " Glucose: :ill
1:'5,

Electrolytes:

Normal

8:.,n'b,d~

Lipid profile: Cholesterol Renal profile: Normal

229 mg/ds

Liver Function: Test Normal Urine: Normal Stress ECG r IrY'l1al, ECG Bradycardia Free T3, T4
1 ., .'

rs -I Normal

Humberto

Jaime Hernandez M.D Physician Medical Director

MEDICAL REPORT AMI Hospital Dar es Salaam

Date: 18/0412012 .

Chest X - ray: Essentia Ily Not Remarka ble Abdominal US: Essentially Not Remarkable

Conclusion:. Healthy Adult

Humberto
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Jaime Hernandez M.D Physician Medical Director

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