MEDICLEAR

An ISO 9001 - 2015 Certified Company

Site Office - 90, Vasant Complex, Mayur Vihar, Delhi
health@mediclear.in / 7428702988 / 7827238098

1 Certificate Number : US/MC/13485/21 Date : 17-Jul-21

2 Name : Rahul Ashok Patil
3 Company : Serve Smart Services Pvt. Ltd.
4 Location : Maharashtra
5 Client Account : Nokia
6 GENDER Male

To be filled by Candidate before Medical Examination -

NO YES

1. Are you currently being treated by a health professional for any illness or injury? P

2. Do you use any drugs or medications prescribed by Doctor? P

3. Do you use any drugs or medications not prescribed by Doctor? P

4. Do you have heart disease? P

5. Do you have high blood pressure? P

6. Do you have vertigo or fear of heights? P

7. Do you have sleep disorder? P

8. Do you have Epilepsy? P

9 . Have you ever had any serious injury, illness,operation, or been in hospital for any reason? P

10. Have you ever been blackout/fainted? P

11. Do you drink alcohol? P

Date Signature Left Hand Thumb

To verify the Medical Certificate scan QR Code or email us at everify@mediclear.in

 MEDICLEAR
An ISO 9001 - 2015 Certified Company
Site Office - 90, Vasant Complex, Mayur Vihar, Delhi
health@mediclear.in / 7428702988 / 7827238098

Patient Name: Rahul Ashok Patil Joining Date: NA Checkup Date 17-Jul-21
Designation : NA D.O.B./AGE 3-Apr-85 Valid Till - 17-Jul-22
Emp Code: NA Gender Male
Address: Maharashtra Blood Group B+
Certificate No. US/MC/13485/21
Clinical Examination/Lab Test
1- Cardivascular System
BMI 25.51
Height 168 Weight 72
2- Blood Pressure - (Repeat if necessary)
Systolic 118 mmHg mmHg
Diastolic 79 mmHg mmHg
b- Pulse Rate Regular P Irregular
c- Heart Sounds Normal P Abnormal
d- Peripheral Pulses Normal P Abnormal
3- Chest/Lungs Normal P Abnormal
4- Abdomen (Liver) Normal P Abnormal
5- Neurological/Locomotor
a- Cervical Spine Rotation Normal P Abnormal
b- Back movement Normal P Abnormal
c- Upper Limbs
Apperance Normal P Abnormal
Joint Movements Normal P Abnormal
d- Lower Limbs
Apperance Normal P Abnormal
Joint Movements Normal P Abnormal
e- Reflexes Normal P Abnormal
f- Rombergs sign Normal P 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 P Abnormal

7- Vision Test (Doctor's Judgement) Normal P Abnormal

8- Routine Urine Examination Albumin Absent Sugar Absent

9- Routine Blood Examination Haemogram

Blood Group B+ Hb 14.5

TLC 6700 RBC 4.25
DLC - NLEMB P:60 L:30 E:02 M:04 B:00
Platelets Count 2.02 l/c
Serum Cholestral 174 S/Triglycerides 145 mg/dl
HDL 49 mg/dl LDL 96 mg/dl
 MEDICLEAR
An ISO 9001 - 2015 Certified Company
Site Office - 90, Vasant Complex, Mayur Vihar, Delhi
health@mediclear.in / 7428702988 / 7827238098

CERTIFICATE OF MEDICAL EXAMINATION

1 Certificate Number : US/MC/13485/21 Checkup Date 17/Jul/21

2 Name : Rahul Ashok Patil Valid Till - 17/Jul/22

3 Company : Serve Smart Services Pvt. Ltd.

4 Gender : Male

5 DOB/AGE : 3-Apr-85

6 Fitness : FIT

I hereby certify that Mr / Ms Rahul Ashok Patil

has been examined by us, We can not discover that he/she has got any disease, communicable or otherwise, constitutional or bodily
deformed or Vertigo.

Candidate is hereby declared, Vertigo Test : Normal

FIT P UNFIT Temporarily UNFIT

For the Post of

1 Work at Height 2 Electrical Work

3 Material Lifting 4 Four Wheeler Driving

REGISTRATION NUMBER SIGNATURE OF DOCTOR SEAL OF DOCTOR

DMC/R/11428

To verify the Medical Certificate scan QR Code or email us at everify@mediclear.in