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) |