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Date :- |
EMPLOYEE NAME:- ________________________ |
Time :- |
Body Temp :- F |
Spo2 :- % |
B.P :- ___________mm/hg |
Dept: - |
Pulse :- _______/min |
Body Wt :- _______Kg |
Any Cut / Abrasion / Injury:- ___________ |
General Examination :- ___________________________ |
Remarks :- |
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FMO / NURSING OFFICER |
Medical Exam : To Assess Health Status After Cyanide Charging
|
Body Temp :- F |
Spo2 :- % |
B.P :- ___________mm/hg |
Pulse :- _______/min |
General Examination :- ___________________________ |
H/O Any Complaints :- ___________ |
Remarks :- |
Any Adverse Health Effect Seen :- |
FMO / NURSING OFFICER |