ANNUAL MEDICAL EXAMINATION (BELOW 40 YEARS)

Height(cms) Weight(kgs) CLINICAL EXAMINATION
PALLOR
PULSE
Vision BP  mm of Hg
RT.EYELT.EYE CVS
Distant Vision Without Glasses 6/6/
With Glasses 6/6/ RS
Near Vision Without Glasses N/N/
With Glasses N/N/ MUSCULO SKELETAL
COLOR VISION value="NORMAL" />  NORMAL   value="DEFECTIVE" />  DEFECTIVE     NORMAL     DEFECTIVE  
IDENTIFICATION OF INDIVIDUAL COLOURS value="NORMAL" />  Normal   value="DEFECTIVE" />  DEFECTIVE     NORMAL     DEFECTIVE   ENT
ABDOMEN
ANY OTHER REL. FINDING
Random Blood Sugar
Signature Of Medical Assistant

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