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RESCUE FIRST AID

DR ATUL B BAND
TRAINING PVT. LTD. ,MBBS, DPH, DCH, AFIH,
CERTIFYING SURGEON,(GOVT OF MAHARSHTRA),MARINE MEDICAL EXAMINER (APPROVED BY GOVT INDIA)
CERTIFYING SURGEON, FIRST AID TRAINING, HI TECH MEDICAL CHECK UPS, OHC MANAGEMENT
Om Dwarkanath C.H.S., R. No. 9, Plot No. 11, Sector-19A, Nerul-East, Navi Mumbai-400 706.
Email : mediglob13@gmail.com Mob: +91 8956727718 / +91 9969789080
1 Registration Number : MED-5025123 Date : 22nd May 23
2 Name : PRASHANT KUMAR
3 Company : METRO TELWORKS PRIVATE
LIMITED
4 Location : BHARUCH
5 Designation : --
6 Gender : MALE
Part 1 - To be filled in by Candidate before Medical Examination
NO YES
1. Are you currently being treated by a health professional for any illness or injury?
2. Do you use any drugs or medications prescribed by Doctor?
3. Do you use any drugs or medications not prescribed by Doctor?
4. Do you have heart disease?
5. Do you have high blood pressure?
6. Do you have vertigo or fear of heights?
7. Do you have sleep disorder?
8. Do you have Epilepsy?
9. Have you ever had any serious injury, illness, operation, or been in hospital for any reason?
10. Have you ever been blackout/fainted?
11. Do you drink alcohol?
Date Signature Left Hand Thumb impression
22nd May 23
RESCUE FIRST AID
DR ATUL B BAND
TRAINING PVT. LTD. , MBBS, DPH, DCH, AFIH,
CERTIFYING SURGEON,(GOVT OF MAHARSHTRA),MARINE MEDICAL EXAMINER (APPROVED BY GOVT INDIA)
CERTIFYING SURGEON, FIRST AID TRAINING, HI TECH MEDICAL CHECK UPS, OHC MANAGEMENT
Om Dwarkanath C.H.S., R. No. 9, Plot No. 11, Sector-19A, Nerul-East, Navi Mumbai-400 706.
Email : mediglob13@gmail.com Mob: +91 8956727718 / +91 9969789080
Part 2 - Clinical Examination/ Lab test
Patient Name : PRASHANT KUMAR Joining Date : NA Checkup Date : 22nd May 23
Designation : -- DOB/AGE 1st Jan 1995 Valid Till : 21st May 24
Emp Code : -- Gender MALE
ADDRESS : Bharuch Blood Group : A +VE
Registration No. MED-5025123
1. BMI
BMI 22.77 Height 165 cm. Weight 62 Kg.
2. Blood pressure-(repeat if Necessary)
a. Systolic 120 mmHg mmHg
b. Diastolic 80 mmHg mmHg
c. Pulse rate Regular Regular Irregular
d. Heart sounds Normal Normal Abnormal
e. Peripheral pulses Normal Normal Abnormal
3. Chest/Lungs Normal Normal Abnormal
4. Abdomen (Liver) Normal Normal Abnormal
5. Neurological / Locomotor
a. Cervical sprine rotation Normal Normal Abnormal
b. Back movement Normal Normal Abnormal
c. Upper limbs
Appearance Normal Normal Abnormal
Join movements Normal Normal Abnormal
d. Lower limbs
Appearance Normal Normal Abnormal
Join movements Normal Normal Abnormal
e. Reflexes Normal Normal Abnormal
f. Romberg's sign Normal Normal Abnormal
A pass requires the ability to maintain balance while standing with shoes off,
feet together side by side, eyes closed and arms by sides, for 30 seconds
6. Hearing (Doctor's judgement) Normal Normal Abnormal
7. Vision Test (Doctors judgement) : 6/6
8. RoutineUrine Examination ALBUMIN NIL SUGAR NIL
9. Routine Blood examination HAEMOGRAM
Blood Group: A +ve
Rh factor: POSITIVE DLC Serum cholesterol: 172 mg/dl
Hb: 14.3gm/dl P 58per cu.Mm S/Triglycerides: 102 mg/dl
TLC: 7800per microliter L 32per cu.Mm HDL : 45 mg/dl
RBC: 4.02cells/mcL E 7% LDL: 80.6 mg/dl
Platelets Count 2.9/mcL M 3%
B 0%

DR. ATUL B. BAND


MBBS, DPH, DCH, AFIH
Indrustrial Health Physician and Certifying Surgeon
Regn. MMC48470
RESCUE FIRST AID
DR ATUL B BAND
TRAINING PVT. LTD. ,MBBS, DPH, DCH, AFIH,
CERTIFYING SURGEON,(GOVT OF MAHARSHTRA),MARINE MEDICAL EXAMINER (APPROVED BY GOVT INDIA)
CERTIFYING SURGEON, FIRST AID TRAINING, HI TECH MEDICAL CHECK UPS, OHC MANAGEMENT
Om Dwarkanath C.H.S., R. No. 9, Plot No. 11, Sector-19A, Nerul-East, Navi Mumbai-400 706.
Email : mediglob13@gmail.com Mob: +91 8956727718 / +91 9969789080
Part 3- Certificate of Physical fitness
1 Registration Number : MED-5025123 Checkup Date 22nd May 23
2 Name : PRASHANT KUMAR Valid Till - 21st May 24
3 Company: METRO TELWORKS PRIVATE LIMITED
4 Gender: MALE
5 DOB/AGE : 1st Jan 1995
6 Fitness: FIT
I hereby certify that Mr/Ms. Prashant Kumar
has been examined by us, we cannot discover that he / she has got any disease, communicable or otherwise,
constitutional or bodily deformity except __

Candidate is hereby declared,


FIT FIT UNFIT Temporarily UNFIT

for the post of


1. Working on Height
2. Electrical work
3. Material lifting
4. Four wheeler Driving

Vertigo Test: No Giddiness, No any other Abnormality seen during the test.
Doctor’s Full Name: DR. ATUL B BAND

DR. ATUL B. BAND


MBBS, DPH, DCH, AFIH
Indrustrial Health Physician and Certifying Surgeon
Regn. MMC48470
Seal & Signature:
Registration Number: MMC48470
Date : 22nd May 23

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