40. 11 12. 1% vs 15, VEDANTA LIMITED JHARSUGUDA FORM No.-31-A MEDICAL EXAMINATION REPORT (PERIODICAL/PREEMPLOYMENT MEDICAL EXAMINATION) (Prescribed under rule 62-J) NAME OF THE FACTORYICONTRACTOA AGENCY NAME OF THE EMPLOYEE EMPLOYEE DISTINGUISHING NUMBER OF THE EMPLOYEE IDENTIFICATION MARK NATURE OF THE JOB (DESIGNATION & DEPARTMENT): CCurt Pen ]ErC — DATE OF THE EMPLOYMENT LENGTH OF SERVICE IN YEARS GENERAL SURVEY BLOOD GROUP EYE VISION USE OF GLASS HEARING AUDIOMETRY RESPIRATORY SYSTEM AND: CHEST MEASUREMENT SPIROMETRY management enon peulit”y toh: Kedarnam® 191 mole cud Peck on) the 3 ch Joq]2e2t Ol jean ; HEALTH : GOODIFAIR/FOOR BMI: ves ino vane 6 Bue 6/6 wren LG wens G Gv ROBMAUABNORMAL NORMAL / ABNORMAL te lf op ac! INSPIRATION EXPIRATIONCARDIOVASCULAR SYSTEM : PULSE er: 119) 82 HEART SOUND: SyS.G@ REMARKS IF ANY: NALD BOG > NORRIAL) ABNORMAL ABDOMINAL TENDERNESS: YES/NO LIVER: NOAIMAL J ABNORMAL ‘SPLEEN: NORMAL / ABNORMAL NERVOUS SYSTEM HISTORY OF ETS: YES/NO” EPLEPSY: YES [NO REMARKS ON MENTAL HEALTH: Popo LOCOMOTOR SYSTEM NOFIMAL/ ABNORMAL ‘SKIN CONDITION NORMAL / ABNORMAL REMARKS ON ANY SKIN DISEASE NOTICEDNIAD HERNIAS PRESENT / ABSENT HYDROS: = PRESENT / ABSENT PRESENT COMPLAINS fF ANY SUMMARY OF FINDINGS HEART DISEASES HYPERTENSION DIABETES TUBERCULOSIS. | 4) pry EPILEPSY. POISONING OTHERS | | OCCUPATIONAL DISEASES 25 RECOMMENDATION IF ANY FOR ANY FURTHER INVESTIGATION: AI? ] COMMENTS / MEDICAL ADVICE FaNy- [°F 4 wore potas nel Tell ee SIGNATURE OF THE EMPLOYEE SIGNATURE GF THE MEDICAL OFFICER pr. K.-C. Agana “MBBS, MEFORM-25 ( Rule-26) 2. HaiSheisftto be employed and may be employ ation such es . jiowing furthar examination NIL... {She is advised following further treatment NIL. wtiicate is. Signature of person examined Sigraure i Carttng Semon Dr. K.-C aed. §ce Medication Raps Spircmetry within noraal limite as SUNITA HEALTHCARE & DIAGNOSTIC N BRUNDAMAL 27 Years 159 Cas 3 so 73 aD 33 50 7 161 asa cemnfeve) were __Spicomstry(EVC Resalts) lpr _2-1-2¢z/s) ree 25% (h/s) i ree 508 (2/5) 75 G/s) jrev.5/eve (3) = Fevsfevc (3) - (per ksee) lnxpltine (Sec) jong Age (ira) lreve o lere25a | (z/s) (fa) and FretPred 280. c. Agrawal MBBS. MS og. No.6945 ( omc)Patient ID = Nene: KEDARNATH PATEL Sender: Male (CR Number: 20270377101382 (Operator = SUNITA HEALTHCARE Registration Date : 22-Sep:2022 SUNITA HEALTHCARE & DIAGNOSTIC 64P HORIZON BRUNDAMAL VEDANTA ROAD JHARSUGUDA REGD.NO.04/2018 38455 age:27 Northal AO [apt ony Buin (ep) 9107 Bupey” 2s0He sooMe 750 He T0004 15004 [ Bone-tat 1+ Bore ight | | | ! ' Dr, K.C. AgrawalSUNITA HEALTHCARE & DIAGNOSTIC SHOP NO-6,JP HORIZON ,BRUNDAMAL VEDANTA ROAD,JHARSUGUDA ,Regd.No.4/2018 PATHOLOGICAL TEST REPORT [ NAME: KEDARNATH PATEL | DATE= 22.09.2022 _| mea Se SEM | _— a : 4 __| HAEMATOLOGY TEST REPORT | Tests | RESULT NORMAL VALUE RES”~*~<“—t*~*é‘~™YSC*«*«i gh | _i—asomerat Hb% i i) | “Male 1218 gm en 1aogmss eile 10 13pm [seed “Group | 1 | *AB"Ave | oxen : SIGNATURE Dr. K.c. Agrawal MBBS. MS gd. No.6945(0MG)SUNITA HEALTHCARE & DIAGNOSTIC SHOP NO-6,JP HORIZON ,BRUNDAMAL VEDANTA ROAD,JHARSUGUDA ,Regd.No.4/20138 _______ REPORTS ON EYE TEST [ PATIENT'S NAME - ceparwaTH paTeL DATE : 22.09.2022 [NAME OFCOMPANY : _TENON — 227M VISUAL EXAMINATION :- L.VISUAL AQUITY (DISTANT VISION) RIGHT EYE LEFT EYE a.with Glass eset wee 6/6 6/6 b.Without Giass. 2.NEAR VISION a.With Glass sesese see eee . N‘6 Nié b.Without Glass == NORMAL NORMAL 3.COLOUR VISION ee uae Wao COMMENT- SIGNATURE Dr. K.C. Agrawal MBBS, MS egd. No.6945(OMC)Report Confirmed. by: | hi AL oo pp ee eo yn te BAA _| ai Ll oy — ap aay i -e Ae ee | | WA Ae A M yo \ | i" I \ | | A Hz ACSO 25mm Wmmim¥ 442$eein ¥66 V202 SHMIP V1.7 SUNITA HB. THCARR&DL