Medical Examination
Clinical Examination

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

General Inspection
A:
cy:
I:
Cl
e:

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

Deformities: Cogenital/Acquired:
Blood Routine Examination

Haemoglobin
%gm/dl
Total Leucocyte Count
cu./mm
Differential Leucocyte Count
Neutrophils:
%
Lymphocytes:
%
Monocytes:
%
Eosinophil:
%
Basophilis:
%
esr:
%

FBS:
mg/dl
rBS:
mg/dl
ppBS:
mg/dl
HIV:
HCV:
HbsAg:

renal function test
Uric Acid:
mg/dl
Urea:
mg/dl
Creatinine:
mg/dl

Lipid Profile
Total Cholestrol:
mg/dl
(LDL) cholesterol:
mg/dl
(VLDL) cholesterol:
mg/dl
(HDL) cholesterol:
mg/dl
Triglycerides:
mg/dl

liver function test
total bilirubin:
mg/dl
conj:
mg/dl
unconj:
mg/dl
sgot:
u/l
sgpt:
u/l
alkaline Phosphatase:
u/l
total protein:
g/dl
albumin
g/dl
globulin:
g/dl