examination_date	examination_type	emp_code	patient_name	father_name	dob	age	gender	blood_group	designation_id	dept_id	aadhar_no	primary_phone	present_medication_if_any_1	past_medication_history_of_1_month_duration_if_any_1	present_comlaints_if_any	height	weight	bmi	chest_inspiration	chest_expitation	waist_person_in_person_1	built_1	joints_1	oedema_1	nasal_mucosa	buccal_mucosa	tonsils_1	thorat	teeth	gums_1	tongue_1	lymph_nodes	thyroid_gland	nail_2	skin_2	speech_2	extremeties_1	any_other_abnormalities_1	1_identifications_marks	2_identifications_marks_1	audiogram	liver_1	spleen_1	any_abdominal_lumps_1	any_others_sign_1	hydrocele_or_vericocele_1	cryptorchidism_phimosis	hernia	varicose_veins	cryptorchidism:	hb_2	rbc_count	tlc_wbc_count_1	platelets_count	mcv	mch	mchc	pcv_1	neutrophils	lymphocyte	eosinophilia	monocyte_1	basophils_1	esr	serum_bilirubin_total_1	bilirubin_direct_conjugated	bilirubin_indirect_unconjugated	sgpt_1	sgot_1	total_serum_protein_1	serum_alkaline_phosphatase	albumin_2	globulin_1	a/g_ration_1	appearance	ph_1	specific_gravity	albumin_1	glucose_1	ketone_bodies_1	bile_pigments	bile_salts	urobilinogen	pus_cell	epi_cells	rbc_2	casts	crystals_1	bacteria	psychological_make_up	higher_functions:	posture_1	gait	plantar_reflexe_1	tendon_reflexes_1	name_of_company_organization_2	designation_1	service_in_years	nature_of_job	past_occupational_illness_2	name_of_company_or_organization_1	designation_2	service_in_years_1	nature_of_job_1	past_occupational_illness_1	blood_urea	serum_creatinine_1	uric_acid	fvc_l	fev_1_l	fev1_fvc	predicted_1	measured_1	pasentage_of_predicted	remarks	cad_1	hypertension	diabetes_1	epilepsy_2	mental_disorder_1	tuberculosis	any_major_operation_or_surgery	other_chronic_illnesses	in_female_any_lump_in_breast	disorders_of_menstruation	pregnancy	any_other_disease	any_comments	cad_2	htn_1	diabetes_3	epilepsy_3	tuberculosis_3	any_other_disease_2	any_comments_1	smocking	tobacco_chewing	alcohol_2	diet	bowel_habits_regular	others_if_any	marital_status_1	no_of_children_male	no_of_children_female	family_planning_history_on_self	family_planning_history_on_spouse	eye_external_examination	colour_vision_by_ishihara_chart_1	binocular_vision	vision_distant_lt	vision_distant_rt	vision_near_lt_1	vision_distant_rt_1	glass_lens_no	comments	pulse_rate_min	pulse_rate	bp_at_rest	murmur_1	peripheral_pulsations_1	other_signs_1	chest_movements_1	respiratory_rate_3	breath_sounds_1	other_signs_4	ecg_2	chest_x_rays_pa_view_3	spine_1	other_signs_5
Examination date	Examination Type	Patient details											TREATMENT HISTORY			GENERAL PHYSICAL EXAMINATION																							GENERAL EXAMINATION		AUDIOMETRY PME	ABDOMEN				GENITO URINARY					BIO CHEMICAL INVESTIGATION														LIVER FUNCTION TEST PME										URINE EXAMINATION PME															NERVOUS SYSTEM PME						PAST OCCUPATIONAL HISTORY										RENAL FUNCTION TEST PME			PULMONARY FUNCTION TEST PME							PAST HISTORY													FAMILY HISTORY							PERSONAL HISTORY											SYSTEMIC EXAMINATION PME									CARDIO VASCULAR SYSTEM PME						RESPIRATORY SYSTEM PME						LOCOMOTOR/MUSCULOSKELETAL SYSTEM PME
		Employee Code	Patient name	Father name	DOB	Age	Gender	Blood Group	Designation	Department	Adhaar Number	Phone	PRESENT MEDICATION IF ANY	PAST MEDICATION HISTORY OF UNDER 1 MONTH DURATION IF ANY	PRESENT COMLAINTS IF ANY	HEIGHT	WEIGHT	BMI	CHEST INSPIRATION	CHEST EXPIRATION	WAIST PERSON IN CMS	BUILT	JOINTS	OEDEMA	NASAL MUCOSA	BUCCAL MUCOSA	TONSILS	THROAT	TEETH	GUMS	TONGUE	LYMPH NODES	THYROID GLAND	NAIL	SKIN	SPEECH	EXTREMETIES	ANY OTHER ABNORMALITIES	1 IDENTIFICATION MARKS	2 IDENTIFICATION MARKS	AUDIOGRAM	LIVER	SPLEEN	ANY ABDOMINAL LUMPS	ANY OTHERS SIGN	HYDROCELE OR VERICOCELE	CRYPTORCHIDISM / PHIMOSIS	HERNIA	VARICOSE VEINS	CRYPTORCHIDISM:	HB	RBC COUNT	TLC/WBC COUNT	PLATELETS COUNT	MCV	MCH	MCHC	PCV	NEUTROPHILS	LYMPHOCYTES	EOSINOPHILIA	MONOCYTE	BASOPHILS	ESR	SERUM BILIRUBIN TOTAL	BILIRUBIN DIRECT CONJUGATED	BILIRUBIN INDIRECT UNCONJUGATED	SGPT	SGOT	TOTAL SERUM PROTEIN	SERUM ALKALINE PHOSPHATASE	ALBUMIN	GLOBULIN	A/G RATIO	APPEARANCE	PH	SPECIFIC GRAVITY	ALBUMIN	GLUCOSE	KETONE BODIES	BILE PIGMENTS	BILE SALTS	UROBILINOGEN	PUS CELL	EPI CELLS	RBC	CASTS	CRYSTALS	BACTERIA	PSYCHOLOGICAL MAKE UP	HIGHER FUNCTIONS	POSTURE	GAIT	PLANTAR REFLEXES	TENDON REFLEXES	NAME OF COMPANY ORGANIZATION	DESIGNATION	SERVICE IN YEARS	NATURE OF JOB	PAST OCCUPATIONAL ILLNESS	NAME OF COMPANY ORGANIZATION	DESIGNATION	SERVICE IN YEARS	NATURE OF JOB	PAST OCCUPATIONAL ILLNESS	BLOOD UREA	SERUM CREATININE	URIC ACID	FVC L	FEV 1 L	FEV1 FVC	PREDICTED	MEASURED	PASENTAGE OF PREDICTED	REMARKS	CAD	HYPERTENSION	DIABETES	EPILEPSY	MENTAL DISORDER	TUBERCULOSIS	ANY MAJOR OPERATION OR SURGERY	OTHER CHRONIC ILLNESSES	IN FEMALE ANY LUMP IN BREAST	DISORDERS OF MENSTRUATION	PREGNANCY	ANY OTHER DISEASE	ANY COMMENTS	CAD	HTN	DIABETES	EPILEPSY	TUBERCULOSIS	ANY OTHER DISEASE	ANY COMMENTS	SMOCKING	TOBACCO CHEWING	ALCOHOL	DIET	BOWEL HABITS REGULAR	OTHERS IF ANY	MARITAL STATUS	NO OF CHILDREN MALE	NO OF CHILDREN FEMALE	FAMILY PLANNING HISTORY ON SELF	FAMILY PLANNING HISTORY ON SPOUSE	EYE EXTERNAL EXAMINATION	COLOUR VISION BY ISHIHARA CHART	BINOCULAR VISION	VISION DISTANT LT	VISION DISTANT RT	VISION NEAR LT	VISION NEAR RT	GLASS LENS NO	COMMENTS	PULSE RATE/MIN	PULSE RATE	BP AT REST	MURMUR	PERIPHERAL PULSATIONS	OTHER SIGNS	CHEST MOVEMENTS	RESPIRATORY RATE	BREATH SOUNDS	OTHER SIGNS	ECG	CHEST X RAYS PA VIEW	SPINE	OTHER SIGNS