äanll Julao

ugLeill ulao Jgal

confirmation Gulf Health Council
Medical test registration

Medical test registration slip

Appointment-
Merchant Reference No
12612202242930454
Vkma7xUv33
12612202242930454
GCC Slip No Indian
Nationality
SREYAS W6042950o
First name National ID
KUNUMMAL Unmarried
Last name Marital status
Male 1998-04-29
Gender Date of Birth
CCountry traveling to
Bahrain 2032-11-03
Passport Expiry Date
W6042950o 2022-11-04
Passport No Passport issue date
KOZHIKODE PAID
Passport issue place Payment Status
ELECTRICIAN
Fosition
10 USD
Amoun

Medical center information

Al-Sharq Diagnostic Centre

Medical c e n t e r namne
2nd Floor Near Ganapath Boys High Schoo!,
Medical center address India, Calicut, Sheraton Complex.
6 7 3 0 0 2 INDIA
Chalappuram Calicut
+914952300766
number
Medical center phone
mail@alsharqcalicut.com
Medical center e-mail

website
Medical cen ter

Working hours
9:00AM- 5:00 PM
Monday 9:00AM-5:00 PM
uesday 9:00AM-5:00 PM
Wednesday 9:00AM-5:00 PM
7hursday 9:00AM-5:00 PM
Friday 9:00AM-5:00 PM
Saturday
Closed
Sunday

Parcode till 2 5 / J a n / 2 0 2 3
Slip is valid only
26/Dec/2022

Generated date
Detailed candidate report aanll Jlao
ugleill Julao dgal
Medical center name Gulf Health Council
Al-Sharq Diagnostic Centre

G.H.C. Code No. GCC Slip No. Date examined Report expiry date
01/04/05 12612202242930454 2/1/2023 2/4/2023

CANDIDATE INFORMATION
Name Nationality Traveling to
Gender
SREYAS KUNUMMAL Male Indian Bahrain
Marital status Passport No. Age Passport expiry date Phone Profession
Unmarried w6042950 24 3/11/2032 +919846149378 ELECTRICIAN
Height Weight BMI
177.0 cm 67.0 kg 21.39

MEDICAL EXAMINATION: GENERAL INVESTIGATION

Blood pressure 124/74 Pulse/min 74 Chest X-Ray NAD Comment
RR/min 12
LABORATORY INVESTIGATION
VISUAL ACUITY AIDED AND UNAIDED
Colour vision Normal Comments BLOOD
DISTANT/AIDED Blood group A+ Haemoglobin g/dL 14.9
Left eye 6/ Right eye 6/ THICK FILM FOR
DISTANT/UNAIDED Malaria Absent Micro filaria Absent
Left eye 6/ 6/6 Right eye 6/ 6/6 BIOCHEMiSTRY
NEAR/AIDED R.B.S 84.0 LFT Normal
Left eye 20/ Right eye 20/ Creatinine 0.68

NEAR/UNAIDED SEROLOGY

Left eye 20/ 20/20 Right eye 20/ 20/20 HIVI&Il Negative HBs Ag Negative
Anti HCV Negative VDRL Negative
HEARING TPHA (if VDRL Negative
Left ear Normal Right ear Normal positive)
URINE
SYSTEM EXAMINATION Sugar Negative Albumin Negative
General NAD Cardiovascular NAD
STOOL
appearance

Respiratory NAD ENT NAD

ROUTINE
GASTRO INTESTINAL
Helminthes Absent OVA Absent
Abdomen (Mass, NAD Hernia NAD CYST Absent Others
tenderness)
GENITOURINARY VACCINATION STATUS
NAD Hydrocele NAD Polio No Date
Genitourinary
MMR 1 Yes Date 02/01/2023
MUSCULoSKELETAL MMR 2 No Date
NAD Back NAD Date
Extremities Meningococcal No
Skin NAD C.N.S. NAD COvID-19 Yes Date 11/02/2022

Deformities NAD
Remarks
MENTAL STATUS EXAMINATION
Mentioned above is the medical report for Mr./Ms. SREYAS
KUNUMMAL who is Fit for the above mentioned joyccording to the
APPEARANCE

Appearance NAD Speech NAD GCC criteriaAuthorised Signatory

Behaviour NAD

coGNITION
AL-SHARQ DIAGNOSTIC CENTRE
Doctor's name Sigaature
NAD Orientation NAD
Cognition
NAD Concentration NAD
Memory
Mood NAD Thoughts NAD
Remarks
Others

STIC C
FIT) - SHAT

CALICU G7309 P.O. Box 7431-11462, Riyadh

Phone: 966 14885270 Fax: 9661 4885266 EmailiD: info@gcchmc.org