MAIHAR IU	Department	OCCUPATIONAL HEALTH CENTRE
		Document No.	F-MED-09
		Revision	0
		Implementation Date
MEDICAL EXAMINATION ON WORK RESUMPTION DURING COVID-19 PANDEMIC

   

Name :   Age/Sex :diff($to)->y; if($gender=='M') echo " Male"; elseif ($gender=='F') echo " Female"; ?>		Tick √ at the applicable check box: i. RCCPL Employee ii. Others
Father's Name :
Mobile No. :	Department : Contractor:
Gate Pass NO./P No. :	Date:

0) { $rowl = @mysqli_fetch_array($resultl); $param_present = (explode(',',$rowl['question_id'])); } do{ $count=0; ?>

TO BE FILLED BY EMPLOYEE:
क्रमांक	लाक्षणिक प्रश्न	हां/नहीं	Sr.No	Symptomatic Questions	Yes/No	क्रमांक/Sr.No	लाक्षणिक प्रश्न/Symptomatic Questions	हां/नहीं/Yes/No	Score	Score Result: 0-2: Co-relate Clinically 3-4: Re-examine after 2 days 6-12: Consultation and Home quarantine 12-24: Refer to Hospital
	/	0) { foreach($param_present as $x => $val) { if($val == $row['question_id']){ echo 'Yes'; $count=1; } } if($count==0){ echo 'No'; } } ?>
		TOTAL SCORE

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