MEDICAL REPORT FORM

Medical File No.: MA2200000151184

To: ADNOC Medical Service, Ruwais

From: Shuweihat Asia Power Company PJSC-S3

Kindly examine the under mentioned employee and advise us of your assessment regarding his/her
physical condition.
Name: Neha Mayur Gupta Employee No.: -

Job Title: - Section: -

Medical Examination Result

Date of Assessment: 8 December 2022

ECG:
Within normal limits.

Radiology:
Nil.

Physical Examination:
General physical examination normal & vitals stable .
Normal color vision.
Normal visual acuity.
Overweight.

Blood Test Result:

Within normal limits.
Urine: With normal limits.

Other Observation and Recommendations:

Overweight (BMI- 28.22) – Diet control (calorie restriction), regular weight monitoring, increase daily
exercise.
Follow healthy diet and lifestyle modification.

Examining Physician’s Name: Signature:

• CONFIDENTIAL /
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151184 neha 06-Dec-22 8:26:43 AM
Born 16-Jul-84 38 Years Female
Ruwais Medical Center

Rate 64 . Sinus rhythm........................................normal P axis, V-rate 50- 99

PR 120
QRSD 77
QT 418
QTc 432

--AXIS--
P 34
QRS 70 - NORMAL ECG -
T 62
12 Lead; Standard Placement Unconfirmed Diagnosis

I aVR V1 V4

II aVL V2 V5

III aVF V3 V6

II

Device: Speed: 25 mm/sec Limb: 10 mm/mV Chest: 10.0 mm/mV F 50~ 0.50-100 Hz W PH100B CL P?