Clinical Examination
general inspection
A
CY
I
CL
Oe

Height: cm
Weight: kg
BMI:
Blood Pressure: mmHg
Pulse: /m
Build & Nutrition:

P/A:
CVS:
CNS:
P/Abd

Chest:
Chest Inspiration: cm
Chest Expiration: cm
Skin:
Muscular Skeletal:

Dress:
Nail:
Hair:

Present Other Diseases if any:
valid till
 ">
approval date

Opinion/ Remarks (By Doctor)
ADVICES AND RECOMMENDATIONS
health advices
health risks
remarks

Opinion of the MO type="radio" name="physical_status" id="physical_status" value="FIT" />  FIT   type="radio" name="physical_status" id="physical_status" value="UNFIT" />       FIT      
Opinion/ Remarks (By Doctor)