label-xlg arrowed-in arrowed-in-right">

PATIENT NAME

FATHER'S NAME

Gender

CODE/G.PASS NO

Date of Birth

Age

PATIENT CATEGORY

Non-Employee Employee

Department

DESIGNATION

EMPLOYEE CADRE

EMPLOYER/CONTRACTOR

Is First Aider

PHONE NUMBER

Aadhar No

RESIDING VILLAGE

POST

Tehsil

District

State

Pin Code

Date Of Joining

OHC Location

Status

Family Members

0) { ?> 0) { while ($row_family_members = @mysqli_fetch_array($result_family_members)) { ?>

Sr	Name	Age	Gender	Relation Type
		diff($to)->y;?>

Family Members

0) { ?> 0) { while ($row_mc = @mysqli_fetch_array($result_mc)) { ?>

financial year	MEDICLAIM LIMIT	APPROVED BUFFER LIMIT	TOTAL LIMIT	UTILIZED AMOUNT	BALANCE	REMARKS

NON-PAYABLE MEDICLAIM

0) { ?> 0) { while ($row_np = @mysqli_fetch_array($result_np)) { ?>

financial year	NON-PAYABLE MEDICLAIM LIMIT	UTILIZED AMOUNT	BALANCE	REMARKS

MEDICLAIM FOR DISEASES NOT COVERED

0) { ?> 0) { while ($row_md = @mysqli_fetch_array($result_md)) { ?>

financial year	NON-PAYABLE MEDICLAIM LIMIT	UTILIZED AMOUNT	BALANCE	REMARKS

S.No.	Vaccine Name	1st Dose	2nd Dose	3rd Dose	Remarks

Personal Phone

Primary Contact Person

Primary Contact No

Primary Contact Person

Primary Contact No

Known Health Advices And Health Risks

Known Health Advices	Known Health Risks

Medical Examination History


Please Select For

S.No.	Medical Examination Type	Medical Examination Date	Review By Doctor	Medical forms	Other Supporting Documents
				"; else if ($row_for_medical_examination['task'] == 'pohc' \|\| $row_for_medical_examination['task'] == 'pohc_half') echo ""; else if ($row_for_medical_examination['task'] == 'eye_check') echo ""; else if ($row_for_medical_examination['task'] == 'foodhand_exam') echo ""; $sql_form = "select form_id,form_type,medical_exam_id from form_data where medical_exam_id = (select max(medical_exam_id) from medical_examination where patient_id = " . $_REQUEST['emp_id'] . ")"; error_log("formmmmm" . $sql_form); $result_form = mysqli_query($conn, $sql_form); $row_form = mysqli_fetch_array($result_form); if (isset($row_form['form_id'])) { if ($row_form['form_type'] == 'form_25') { echo $space . " (Form 25)";; } else if ($row_form['form_type'] == 'form_O') { echo $space . " (Form O)"; } } ?>	").click()'> alt="pdf" onclick="pdf_preview(this,'')" /> alt="new image" onclick="image(this,'')" />

Past And Present Illness History

Past And Present Illness	Regular Medication	Present Complain

OPD AND INJURY


Please Select For

Sr No	OPD/Injury	Appointment Date	Attended By	Prescription	Other Supporting Documents
				"; else if ($row_for_employee_appointment['appointment_type'] == 'I') echo ""; ?>	").click()'> alt="pdf" onclick="pdf_preview(this,'')" /> alt="new image" onclick="image(this,'')" />

Sickness


Please Select For

Sr No	sicknes Date	Ailment Name	Attended Doctor
				"; } else { echo ""; } ?>

Uploaded Documents

'; ?>

S.No.	Document Name	Uploaded Date	Download link	Edit/Delete
No Files Found

Vaccination Details

Contact

Emergency Contact

Medical Examination History

Please Select For

Past And Present Illness History

OPD AND INJURY

Please Select For

Sickness

Please Select For

Uploaded Documents