SIVA ENT CARE CENTRE

DR.S. KARTHIKEYAN
cONSULTANT ENT & HEAD AND NECK
M.B.B.S,D.L.O., S V
SURGEON
TNMC REGN. NO:67122
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Dr.S. KARTHIKEYAN, M.c..5,DALO,
ENT Surgeon, Regd. No:67122
SIVA ENT CARE CENTRE
Railway Station Road
PATTURKKOTTAI-614 602
Thanjavur-Dist.

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Ph: 04373-257891, Clinic: 9976227291 House: 9245550778
 GURUPRIYAN
G.R.A.M.
DIAGNOSTIC LABORATIORY
HOSPITAL, Complex, No.47,
Soukkandi Street, PATTUKKOTTA -614 601,
Patient's
Sex
Name: hasanna venkatesh Date:5 8/90
Male Female Age:29 Yrs
Dr. R.ANBARASAN, M.B.8.3., M.S..
Reg. No: 510337
Reffered Dr G.R.A.M. Hospital
47, Sowkandy Street
D: Anauncaan Ma PATTUKKOTTA-614 601
Heamatology Patient Value Normal Range
RBC Count Male 4.6 Million/ Cummtoo mlohs
h milltmiumFemale-4.2-5.4 Million/ Cumm Cuymm
Total Wbc Count
a 4500-11000- Cells/Cumm
Polymorphs: 40 -70%
Lymphocytes : 20- 49%
Differential Count (DC 2 7
08 . Eosinophils:1-4%
0 Monocytes: 4-8 %
Basophils:0-1%
Heamoglobin (HB) Male 13.5-16 g/ dl
Shalish Method
lh Jn |Female-12-15.5 g/ dl
E.S.R. 30 Minutes
60 Minutes Below 20 mm/ houur
Blood Groping
Rh. Typing
BLOOD WIDAL
0. Antigen
H. Antigen
AH. Antigen
BH. Antigen
B.T. 2-6 Minutes

C.T. 3-10 Minutes

Platelet Count 1 4 lalchslun 1.5-4 Lakhs/0Cumm

Micro Filaria:
Malaria:
Scrub Types
OTHER INVESTIGATIONS
Blood VDRL

HBs Ag
HIVI.II:
HCV
A.S.O.Titre:
RAFACTOR:
 BIO CHEMISTRY Normal Value
Suger: F
mg/dl 60-110 mg /dl
Suger:PP mg/dl 80-180mg /dl
Suger R
mg/dl 60-140 mg /dl
Urea mg/dl 20-40 mg /dl
S.Creatinine mg/dl 0.6 1.2 mg/ dl
S.Cholesterol_ mg/dl 150-250mg/ dl
S.Billrubin Total: mg/dl 1.0-mg/d
Direct mg/ d 0.2 mg/dl
Indircct: mg/ dl 0.8 mg/ d
S.Uric Acid mg/d m-2.5-7mg/dl
F-0.5 7.5 mg/ dl
Mantoux test_ Read On Report
S.G.O.T. U/L Normal 5 - 50 U/L
S.G.P.T. U/L 5-40 U/L
Alkaline Phosphate U/L at 37.c AD108-306 CH 151 471 u/ last 37.c
Total Protein g/dl 6-to 8 g/d
Albumin_ B/dl 3-5-to 5.3 g/dl
Globulin g/dl 2.3 to 3.6 g/dl
Lipid Profile

Triglycerides mg/ dl 30 to 170 mg/ dl

Cholesteral mg/dl 110to 230 mg/ dl
HDL Cholesterol mg/ dl 35 to 55 mg/ dl
LDL Cholesterol mg/ dl 40 to 180 mg/dl
VLDL Cholesterol mg/dl 10 to 40 mg/dl
S.Amylase U/Lat 37C 50to 90 U/ Lat 37C_
C.K. MB U/L at 37C UP to 24.U/L at 37Yc
Electrolytes
Sr.Calelum MEq/dl 8.5 to 9 mg/ dl
Sodium MEq/1 135to 150 MEq/I
Pottasiumn MEq/1 3.5 to 5.1 MEq/I

Chioride MEq/1 98 to 109 MEq/I

Bicorbonate MEq/1 24 to 28 MEq/I
DenqueNS
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CHIKUNGUNYA
URINE EXAMINATION
DEPOSITES
Appearance Pus Cells
Colour RBCS
Reaction Epithelial Cells
ALBUMIN Castes
SUGAR Bacteria_
Bile Salts Crsystals
Bile Pigments_ GRAVINDEX

ACETONE Lab Techicia

UKKO
 CERTIFICATE OF VISION
EYE CARE HOSPITAL - PATTUKKOTTAI

Candidate Signature fasnnavnkaloss V

1. Distant vision without glass -R.E 616
-L.E 6l6
2. Distant vision with glass -R.E 6/6
-L.E 616

3. Amount of correction needed Sph cyl Axis

R.E

L.E

4. Near vision -R.E n6

L.E 16
5. Whether suffering from squint

(Or)
Any morbid condition of eye

6. Field of vision -R.E Normal By Confrontation method

-L.E Normal By Confrontation method
7. Colour vision -R.E Normal By ishiharas plates method
L.E Normal By ishiharas plates method
8. Fundus appearance -R.E Normal By 90 D LENS method
L.E Normal By 90 D LENS method
9. Standard of vision -A-1

Having regards to his/her vision Mr./as. V prosanne:venkateAn.

is fit/+nfit for appointment as -elattan Skf rares
Place Pattukkottai
Date ss1a0ae.

Dr.S.Kasiviswanathan M.B.B.S., D.0.,

Dr.S.KASIVIS WANATHAN,M.B.B.S,D.0.,
Reg.No.75310
Eye Surg on
Eye Care Hospital, i tukkottai
Thanjavur District-614 602
 (TAMILMANIAM HOSPITAL)
Dr. S. MURUGANANDAM M.D., (Gen.)
Consultant Physician
Reg. No: MCI 68776 TN

Date: 03.(o{>2..

MEDICAL FITNESS CERTIFICATE

I certify that I have carefully examined Mr.V: PPACANNA VENENES H
Son/ of Shri
ATA YANATHAn Whose signature is
given below. Based on the examination. I certify that he is in good mental and
physical health and is free from any physical defects which may interfere with
his/her studies including the active outdoor duties required of a professional.

Signature of the Candidate

Place atAuttofa
Date OS 08 -2 e 1

Name & Signature of the Medical Officer

With seal and registration number
S.MURUGANANDAM,M.D., (Gen)
Consultant Physician
Res. Na: 6877
Tamilmaniam Hospital
52, Arislkkara Straet, RP:Court
PATTUKKOTTAL-014 601

52, Arisikkara Street, (Opp. Court) Pattukkottai -614 601.

Ph: 04373-256665 Cell: 7708808600, 9944671727