Professional Documents
Culture Documents
@
><
TO WIIOM IT MAY CONCERN
Kepada rane be*epentin ed n
'llrs r ceniry ih.t ioday Sahtrdry, 03 Septobe. 201 B Med*a Plu cliric has
pftromed urine dru! $Ecn'ns :nd/or brearh alcohol t.* ro
hri' shtr 03scp1ehb.ta,ha M.ttLa Phza
lhrrctelahnetdN at rrh. dnts ntnhs dar dar bruth dtnh.t tea ke,I,tl
ABDUL HAJI
'YARII/EY
F' -t-
N4P. ffiprt
Eq@
><
M !-r-
{-
;l;
s'ei'nsr \V rhkno'nrr Srare cnardrtjsc
"::;lt t';'"1-t: l':": .
:::;' t:;H:,.:"1,.;L: l
';3;'-".:::i:":-"' ;:lF
LUI !t!f boodpresue/ *rcre
I
:.r. il."l.;;.;:;:::;;;" ,"," " ili&
".- .- ..,_ . -._. ..
.t"'L{9
";.^;;, "",,.,--",,,.-,l"-',parentrbbthe6^,sr.)haveah--i+,*oryo,st
:.".iil.",111::T$:,ff
--Y,
(rl vismrimFnmeni
fll !9!r!!4!!!!uIt!!t!th!r8!
LltL!9j!II9rIt!!!LLe ion
G) ra-d(eij!!!' t,./caI bbdd".d"";
171 ch,^se.bo!. h"bn/d""ho;"
rsr srood
'"
ro.k/p, eth"emo,;h.,r,
Lfr] l!r!!!ry!bi!!!f!"!s!t!B!!!f!a
_tsr ::.! l:enr ber!!14!e!r!L
rl ll lloi9lau!!9l|dnry @nC G'io6/ibie
. . .r rrjlJnproyee I
.hv4 Medrol A44. ol Ftn4s la.wat oljshs.6\da,k ht E,lnroq hr4
Mcdicat Screcning eucstionnaire And
Oxaminarion R€cord (cont'rl)
MedicrlExaaination
\'d.r-lt
-/,.
Et,.
L- :t
[Er."""",,,n"s-rh
)/
t:o _[
4 -
r. Lurss/chcn I J
6.Abd.* i
Ph\$rDn ro commcntl)lr{v
,F -t-
!!]!!t!!r!^q!fl
'rva Medd A5pe.:.1hr6, tat wq!.t418 6udu a lq Ercnnho hF
I{EALTH ASSESSMENT REPORT
of
ABDUL HAJI WARWEY
01016666
MP WTC 2 CLINIC
lc",ercNirM I
HEi\IATOLOCI
RI,I) CNE\IISTRY/DIABNTT,S
DIIUCSSCREENINC
LABORATORY RESULT
ti,,h ,,,, --
l
STOOL/Rf,CTALS\\AP
1
ta:: .t ,:.tlt, , AUDIOMETRY DIAGNOSTTC
'
-*,EEEEEEEE
EE@@@@@@ EE@@E@@@
"*'.,EEEETIEEE
EEENNNEE ,ENNNNEEE
-.
l,
-t
l
]L-.t, :
/41.44 d. tdttt4i!tudqa Nl
6
6
9;
F!ie
3 ;g 9E
9. 33!;
.? E
i; ;
E
E
,E
I gF:;::
E;i
€. e tEi;i q a f !!
ji
;ie iE r-s Botl r-e *i
f;:! iFJ ;3 F:
"Cq +s +Bs$ EA 5 6b
a
a
-c
E:
>!
;E
\l r.
F!: ! q LR Ece ?
B'; :
9
I
asgE9 :
.! € I
(!, s €
({>
I
t,z
E
\
a
P
o IT
s z'
B
3
E
Ei
:3
tEe
3.! FE
rec r
n,9F
(' ;1
dEE H
ti:
lF5
/t
(.r)
I ; :;
#E
6
E!
:i
:-i
B!
<.) ;i
=
E
2
;ec
=
<.>
I
6
i
i-I-': - >=---+- -
J IL!=.
-'
E,1. : ;
' --,=-
-="---::
i =?*;+---
-
-.
E!
gg:
'-
a !=;
=:r -a.-
i-:i (\'l--: . - |
-'-...- :-. l- <. i!
"+--
--
a>
a() 1.
I
t=.f;':'- =-
:-+=:;-:
-' ,
-=
E --.-\:-.a_=_r
=l
-r=l
i-I-=l
:<-<''-;
'-< J- i _.4
-- a
: - L
-.-
;;:-'
-i-,
:i- a e'er*]sl E
.1.
li il e
6
*.'t
"-*
L l
FE EIE E
"'F:F:=
6 i aE = c::
E q-'33;
Ei
:s
I
tii llrt-
3333
:
d
<59 83:3 a
cgg g!
E
(r) -e Eou!udE
ar>
9