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Date:
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PME No.
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DOJ:
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DESIGNATION:
|
DEPARTMENT:
|
DIVISION:
|
|
TRADE
|
EMPLOYEE ID
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|
NAME OF CANDIDATE:
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DOB:
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AGE
|
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FATHER’S/HUSBAND’S NAME:
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GENDER:
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BLOOD GROUP:
|
$val) {
$units=0;
$ranges=0;
$notes='';
$comments='';
$notes .= getTableFieldValue( 'checkup_form_section','notes', 'section_id', $val);
$comments.=(getTableFieldValue( 'checkup_form_section','comments', 'section_id',
$val));
?>
|
Test Names
|
Result
|
Unit
|
Ref Range
|
|
|
|
|
">
|
">
|
'.$rangs[$r].'';}
}
?>
|
FACTS AND FINDINGS
| Doctor's Findings |
|
Doctor's Comments |
|
| Health Risks : |
|
Health Advices : |
|
MEDICAL FITNESS
CERTIFICATE
|
|
|
I HERE BY CERTIFY THAT, I HAVE PERSONALLY EXAMINED
MR/MS/MRS
DATE OF BIRTH
,
GENDER , AND BASED ON THE INVESTIGATIONS &
MEDICAL EXAMINATION HE/SHE IS :-
|
|
 ?>)
|