| EmpCode |
Medical Type |
Patient name |
Designation |
Department |
Aadhar No |
Asthama |
Diabetes |
T.B |
Hbd |
Epilepsy |
Medical Date |
Illness |
Heart Deases |
Typhoid |
Major Injury |
DOB |
Gender |
Height |
Weight |
Pulse |
BP |
Waist |
Hip |
Nails |
S1 |
S2 |
Any Other Sound |
Ecg Findings |
Near with Right Eye |
Tmt Findings |
Near Without Right Eye |
Dis With Right Eye |
Dis Without Right Eye |
Dis Without Left Eye |
Dis With Left Eye |
Near Without Left Eye |
Near With Left Eye |
Skin |
Color Vision |
RS |
Musculo Skeletal |
Cns |
ENT |
Chest Radiograph |
Urine Re Me |
Stool Re Me |
Fvc Pre |
Fvc Post |
Fev1 Pre |
Fev1 Post |
Fev1 Fvc Post |
Peak Expiratory Flow Pre |
Peak Expiratory Flow Post |
Air Cond Left |
Air Cond Right |
Bone Cond Left |
Bone Cond Right |
HB |
TLC |
Dlc_n |
Dlc_l |
Dlc_m |
Dlc_e |
Platelets |
S_Urea |
S_Creatinine |
Blood_Sugar |
ESR |
Bun |
Uric Acid |
PSA |
Lipid Profile |
Live Function Test |
Thyroid Profile |
Dental Exam Report |
Mammography |
Conversational Hearing |
Pap Smear |
Any Other |
Auroscopy |
Throat |
Nose |
EAC |
Liver |
Speen |
Tenderness |
Any Other Abnormality |
Appearance |
Pus Cells |
Rbcs |
Epithelial Cells |
Other Relevant Findings |
Albumin |
Sugar |
Blood Group |
Pallor |
CVS |
Ident of Individual Colors |
Physical Status |
Abdomen |
Medical Assistant |
Opinion Remarks |
Vdrl |
Speech |
Higher Function |
Motor Function |
Vertigo |
Reflexes |
Vibration Syndrome |
PPO |
Grade |
Any Other Eye Disease |
Hydrocele |
Phimosis |
Piles |
Fistula |
Fvc |
Hiv |
Smoking |
Tobacco |
Alcohol |