EmpCode Employee Name Father name DOB(DD-MM-YYYY) DOJ(DD-MM-YYYY) Designation Patient Category Employeer Contractor Employee Carde Gender(M/F/O) Email Id Phone Number Department Aadhar No Village Post Ps Tehsil District State Pin Code Is First Aid(Yes/No) Blood Group Known Health Advices(eg. Take Full Bed Rest,Need More Water) Known Health Risks(eg. Weakness,Low Bp) OHC Location(M/P) Status(Active/Inactive) Emergency Contacts(Optional) Family Members(Optional) Employee Questionnaire(Optional)
Emergency Primary Contact Person Emergency Primary Contact No Emergency Secondary Contact Person Emergency Secondary Contact No Name Age Gender(M/F/O) Relation Type Name Age Gender(M/F/O) Relation Type Name Age Gender(M/F/O) Relation Type Name Age Gender(M/F/O) Relation Type Name Age Gender(M/F/O) Relation Type Height Weight Waist BP(Yes/No) Diabetes(Yes/No)