MALAYSIA

Medical Report For Foreign Worker

MC Ref. No : C-114266 MEDICAL APPROVAL DATE : 16/05/2023 , VALID UNTIL : 14/08/2023

1. FULL NAME PHOTO

SHEIK MD RAHIM

2. REGISTRATION NO BGD/224/A06/20230514144253/117908

3. FATHER'S NAME MD GAMAT ALI SHEIKH

4. MALE / FEMALE MALE 5. AGE : 35 YEARS

6. PASSPORT NO A06780575

7. TYPE OF WORKER FOREIGN WORKER

8. RESIDENCE IN COUNTRY OF ORIGIN

ADDRESS
A06780575
SIRAJGANJ

COUNTRY BANGLADESH

9. NAME OF RECRUITING AGENCY M.E.F. GLOBAL BANGLADESH LTD.

10. ADDRESS OF RECRUITING AGENCY EASTERN MANSION 1ST FLOOR 67/9 , PIONEER ROAD , KAKRAI
L , DHAKA-1000

I HAVE EXAMINED THE FOLLOWING DETAILS AND FOUND THAT :

1. HE IS FREE FROM THE FOLLOWING DISEASES/CONDITIONS :

YES NO YES NO
HIV/AIDS SYPHILIS
TB HEPATITIS B
MALARIA UNACCEPTABLE CLINICAL FINDINGS IN CHEST X-RAY
LEPROSY TUMOR/CANCER
FREE FROM OTHER CHRONIC DISEASES EPILEPSY

PHYSICAL EXAMINATION MENTAL ILLNESS

HEPATITIS C FILARIASIS
LEISHMANIASIS

2. HIS URINE IS FOUND NOT TO CONTAIN OPIATE/CANNABIS/AMPHETAMINE

3. HE IS FIT TO WORK

4. I THEREFORE RECOMMEND THAT HE BE CONSIDERED FOR EMPLOYMENT

ADDITIONAL INFORMATION:

WORKER IS FIT

DOCTOR SIGNATURE AND NAME DOCTOR ADDRESS

CATHARSIS MEDICAL

DOCTOR SEAL

DR MD PIAS HOSSAIN

DOCTOR QUALIFICATIONS
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