Clinical Examination
general inspection
A
CY
I
CL
e
general examination
Height

(in CMS)
Weight

(in KGS)
BMI
cns
pulse (per min)
bp (mm hg)
cvs
rs
musculo skeletal
ent
abdomen
ANY OTHER REL. FINDING
BLOOD SUGAR(mg/dl)
valid till
 ">
approval date

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