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Initial Medical Examination for CHS
Date
Canteen Location
>
Observation
Daily Caterer No's
Daily Catering No's
Examination No:
Man Power
Survellance By
Previous Survellance Date:
Open / Total :
Supervisor
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क्रमांक
हां/नहीं
Sr.No
Yes/No
Observation and remark
क्रमांक / Sr.No
हां/नहीं / Yes/No
Observation and remark
/
select answer
Yes
No
No
Yes
Yes
No
<?php echo $row_r['question_remarks'] ?>
क्रमांक
कृपया नीचे दिये गए प्रश्न के उत्तर हाँ या ना मे दीजिये
हां/नहीं
Sr.No
Please answer the questions in Yes or No
Yes/No
Observation and remark
क्रमांक / Sr.No
कृपया नीचे दिये गए प्रश्न के उत्तर हाँ या ना मे दीजिये / Please answer the questions in Yes or No
हां/नहीं / Yes/No
Observation and remark
/
select answer
Yes
No
No
Yes
Yes
No
<?= $qremarks ?>
Observation of consern
<?php echo $row2['observation_of_consern'] ?>
Capa
<?php echo $row2['capa'] ?>
Communication Notes
<?php echo $row2['communication_notes'] ?>
Responsibility
<?php echo $row2['responsibility'] ?>
Completion Date
Status and closing remarks
<?php echo $row2['status_and_losing'] ?>