|
Date:
|
PME No.
|
DOJ:
|
|
DESIGNATION:
|
DEPARTMENT:
|
DIVISION:
|
|
TRADE
|
EMPLOYEE ID
|
|
NAME OF CANDIDATE:
|
DOB:
|
AGE
|
|
FATHER’S/HUSBAND’S NAME:
|
GENDER:
|
BLOOD GROUP:
|
$val) {
$units = 0;
$ranges = 0;
$notes = '';
$comments = '';
$notes .= getTableFieldValue('checkup_form_section', 'notes', 'section_id', $val);
$comments .= (
getTableFieldValue(
'checkup_form_section',
'comments',
'section_id',
$val
)
);
?>
|
Test Names
|
Result
|
Unit
|
Ref Range
|
|
|
|
|
|
">
|
' . $rangs[$r] . '';
}
}
?>
|
Additional/Other
Tests
|
Test Names
|
Result
|
Unit
|
Ref Range
|
|
|
">
|
">
|
' . $rangs[$r] . '';
}
}
?>
|
FACTS AND FINDINGS
| Doctor's Findings |
|
Doctor's Comments |
|
| Health Risks : |
|
Health Advices : |
|
| Chronic Illness : |
|
Habits : |
|