Initial Medical Examination Card (Short Term)

Height(cms) CLINICAL EXAMINATION
Weight(kgs) PALLOR
Vision PULSE
RT.EYELT.EYE BP  mm of Hg
Distant Vision Without Glasses MUSCULO SKELETAL
With Glasses RS
Near Vision Without Glasses
With Glasses ANY OTHER RELEVANT FINDING
COLOR VISION   Normal     DEFECTIVE  
IDENTIFICATION OF INDIVIDUAL COLOURS   Normal     DEFECTIVE  
CVSS1 S2
Any other Sound ECG (12 Lead) findings
2D Echo/TMT Findings
Status   FIT     UNFIT