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CERTIFICATE OF VISION

EYE CARE HOSPITAL - PATTUKKOTTAI

Candidate Signature aavnkalosh V_


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

3. Amount of correction needed Sph Cyl Axis

R.E

L.E

4. Near vision -R.E 6


L.E n6
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./=s. Vprasanno yenkateAh


is fit/wnfit for appointment as elaan Shif_ere
Place : Pattukkottai
Date S81a0aa

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


Dr.S.KASIVISWANATHAN,M.B.B.S.,D.0.
ReNo.75310
Eye Sury on
Eye Care Hospital, i'ttukkoitai
Thanjavur District-614 602
GURUPRIYAN DIAGNOSTIC LABORATIORY
PATTUKKOTTAI 614 601,
G.R.A.M. HOSPITAL, Complex, No.47, Soukkandi Street,
Date:5 8/20
Patient's Name: - Prasanna yenpadesh
Yrs
Sex: Male Female Age:24 M.B.8.3., M.5.
Dr. R. ANBARASAN,
Reg. No: 51037
G.R.A.M. Hospita
47, Sowkandy Street
Reffered Dr:
D PATTUKKOTTAL614 601L
Heamatology
AnnaanMA
Patient Value Normal Range

Male - 4.6 Million /Cummtoo5 mllo


RBC Count Cumm Cuumm
h milltmlum.Female-4.2-5.4 Million/
4500-11000- Cells/Cumm
Total Wbc Count

Polymorphs: 40-70%
| Lymphocytes : 20- 44%
Differential Count (DC) H2 Eosinophils: 1 -4%
08 .
Monocytes:4-8 %
Basophils:0-1%
Male -13.5 - 16 g/dl
Heamoglobin (HB)
Shalish Method Female 12 - 15.5 g/dl

E.S.R. 30 Minutes Below 20 mm/ hour


60 Minutes

Blood Groping
Rh. Typing
BLOOD WIDAL 0. Antigen
H. Antigen
AH. Antigen
BH. Antigen
2-6 Minutes
B.T.
3-10 Minutes
C.T. 1.5-4 Lakhs/Cumm
Platelet Count_13lalekslum
Micro Filaria:
Malaria:
Serub Types OTHER INVESTIGATIONS

Blood VDRL:

HBs Ag
HIVI.II:

HCV:

A.S.0.Titre:
RAFACTOR:
BIO CHEMISTRY Normal Value
Suger: F mg/dl 60-110 mg /dl
mg/dl 80- 180 mg /dl
Suger PP
Suger R mg/dl 60-140mg /dl

| Urea mg/ dl 20-40mg/dl


S.Creatinine mg/dl 0.6-1.2 mg/dl
S.Cholesterol_ mg/dl 150-250 mg/dl
S.Billrubin Total: mg/dl 1.0-mg/d
Direct mg/d 0.2 mg/ d

mg/dl 0.8 mg/dl


Indirect:
S.Uric Acid mg/dl m-2.5-7mg/ dl
F-0.5 7.5 mg/dl

Read On Report
Mantoux test_ Normal 5 - 50 U/L
S.G.0.T. U/L
U/L| 5-40 U/L
S.G.P.T AD 108-306 CH 151-471 u/ last 37.c
Alkaline Phosphate U/L at 37.c
Total Protein g/dl 6- to 8 g/dl
Albumin g/dl 3-5-to5.3 g/dl
Globulin g/dl 2.3 to 3.6 g/dl
Lipid Profile

mg/d 30 to 170 mg/ dl


Triglycerides
mg/ dl 110 to 230 mg/dl
Cholesteral mg/d 35 to 55 mg/ dl
HDL Cholesterol 40 to 180 mg/dl
LDL Cholesterol mg/dl
mg/ dl 10 to 40 mg/ dl
VLDL Cholesterol
S.Amylase U/L at 37.C 50to 90 U/ Lat 37C
U/L at 37C UP to 24.U/L at 37C
C.K. MB
Electrolytes
MEq/dl 8.5 to 9 mg/ dl
| Sr.Calelum
MEq/1 135to 150 MEq/I
Sodium 3.5 to 5.1 MEq/I
|Pottasium MEq/1
MEq/1 98 to 109 MEq/I_
Chioride 24 to 28 MEq/I
Bicorbonate MEq/1
Denque:-NS

igM:
igG:
CHIKUNGUNYA
URINE EXAMINATION
DEPOSITES
Pus Cells
Appearance
RBCS
Colour
Reaction
Epithelial Cells
ALBUMIN Castes
SUGAR Bacteria
Bile Salts Crsystals
GRAVINDEX_
Bile Pigments

ACETONE Lab Techiticia

UKKO
SIVA ENT CARE CENTRE
DR.S. KARTHIKEYAN
M.B.B.S.D. L.O.,
cONSULTANT ENT & HEAD AND NECK SURGEON
TNMC REGN. NO: 67122 A
Date.7&/o

No Slet PNT Lorplust

Alo ud BNT &psir


2

Wo N1&pa

ww.
Signature
Dr.S. KARTHIKEYAN, M.C.6.5,DLO,
ENT Surgeon, Regd. No:87122
SIVA ENT CARE CENTRE
Railway Station Road
PATTUKKOTTAI-614 602
Thanjavur-Dist.

lon ENT BȔ aaLA


rulbGa sivGLSsT GnG. (LST 6u=Gpmb urme6 NGB) ueG%esmtaL.
u n a a ¬bJb: DTMAD 5.30 To 8.00 D6ofl6og
GTuiI wTmD 5.00 To 7.00 wofl ouso siTLIgßa G[Brfilo uDLGw.
Ph:04373-257891, Clinic: 9976227291 House: 9245550778
TAMILMANIAM HOSPITAL
Dr. S. MURUGANANDAM M.D., (Gen.)
Consultant Physician
Reg. No: MCI 68776 TN

Date: 9.(o.{2ta2.

MEDICALFITNESS CERTIFICATE
I certify that I have carefully examined Mr. V PPACAn/nA VENEMESH
Son/ of Shri
VATAILAnATHAo 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:Pt{utteka
Date OS -08 -2 o22

.M
Name & Signature of the Medical Officer

With seal and registration number

S.MURUGANANDAM, MD. (Gen)


Consultant Physician
Reg. Na: 6&77
Tamilmaniam Hospital
52, Arisikkara Straet, SRp: Courn
PATTUKKOTTAL014 601

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

Ph: 04373 256665 Cell: 7708808600, 9944671727

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