Clinical Examination

general inspection
A
CY
I
CL
e
general examination
Height

(in CMS)
Weight

(in KGS)
BMI
pulse (per min)
bp (mm hg)
cvs
rs
musculo skeletal
VISION
Distant vision

(without glasses)
Near vision

(without glasses)
Distant vision

(with glasses)
Near vision

(with glasses)
color vision

as per ishihara's chart
LEFT EYE RIGHT EYE LEFT EYE RIGHT EYE LEFT EYE RIGHT EYE LEFT EYE RIGHT EYE
BOTH EYES
6/ 6/ N/ N/ 6/ 6/ N/ N/ > Normal />Defective
ABDOMEN
liver
speen
tenderness
ear
nose
throat
skin
blood sugar
other relevant findings


Opinion/ Remarks (By Medical Assistant)


approval date
status
 		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)
ADVICES AND RECOMMENDATIONS
health advices
health risks