C PRE

Dr. S. SELVAM DIAZ,EMPLOYMENT

Consultant Physician
Reg. No. 25680
M.B.B.S., M.D.
MEDICAL FITNESS REPORT

1A, Sree Ganesh, No. 17, 4th Cross Street,

R.V. Nagar, Anna Nagar East,
Chonnai - 600 102.
Tel • 044 - 4358 0400

r
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Name : RAVICHANDRAN RAMESH BABU REF. No. KFAAA 2504

r '' Height (1 82 Cms)Weight 00 Male Status Unmarried

Sex
Kgs)
—
‘ D.O.
_
E. &
29/04/1999 25 Exam. Dt1
25/0112024 Exp. INDIAN Religio Dt.(
—
) Nationality P l a c e & Dt. of Issue

Position( LAB TECHNICIAN Passport No.( ) Company(

MADURAI
rypermit the and undersigned PHYSICIAN to furnish such information the company may need pertaining to my health status and other pertinent and medical findings and do heretry release , thern
Inkrany and all legal responsibility by doings° I also certify that my medical history contained below is true and any false statement wilt disqualify me from myemploymnf.bode%and (darns Histoty,of
any significant past illness including •

1 ,' Psychiatnc and neurrleal disorders (Epilepsy, depression Ni!

. O t h e r s 2 Allergy
Nil
Signature of Examinee
\IFAIEGIICAL,EXAMINATION
1' TYPE OF MEDICAL EkAllit RESULTS LABORATORY INVESTIGATIONS
TYPE OF LAB. INVESTIGATIONS RESULTS
Notes about URINE
EYE Medical and -
Normal Laboratory SUGAR Nil
-
R
Normal - ALBUMIN Nil
t -
-
L Normal Nil
t Normal Nil
EAR
- Nil
Rt Nil
- 124/82
Lt Normal Nil
SYSTEMIC EXAMINATION
: CARDIO-VASCULAR Normal 14.0
- B.P.
Normal
- HEART
Negative
Negative
RESPIRATORY SYSTEM Nil
- LUNGS Nil 98
- CHEST X-RAY Nor Nor
OTHERS mal mal
- HERNIA Nil 0-7
- VARICOSE Nor 26
VEINS - BILHARZIASIS (IF ENDEMIC) STOOL
EXTREMITIES mal
- ROUTINE
- - 1 HELMINTHES
DEFORMITIE Nil - 2 GIARDIASIS
S - SKIN
Non_Reacti - 3 BILHARZIASIS iiF E N D E M I C ' CULTURE

ve -4 SALMONELLA SHIGELLA
Negative -5 V.CHOLERA (IF ENDEMIC)
BLOOD
Investigations -1 HAEMOGLOBIN
THICK FILM FOR
-2 MALARIA
-3 MICRO FILARIA SEROLOGY
-1 F.B.S.
-2 L.F.T.
-3 CREATININE
-4 UREA ELISA
 _ ANTI HIV I - II NEGATIVE - 3 Anti HCV

PREGNANCY TEST LMP

- 2 Negative HB s A g
BLOOD GROUP Negative & RH TYPE: ( " 0 " POSITIVE) ALL WITHIN

NOuRrnLELL IM, ItTASn;

pear Sir, I Rag. N:)
Mooned above is the Medical Report for ( RAVICHANDRAN
RAMESH BABU .;
•
Who IS for the above mentioned lob.
.+ Dr. S. SELVAM DIAZ. MD
Seal Consultant Physician