HI - PRECISION DIAGNOSTICS

Lot 2 D1-3 Talos Dos Las Piñas City

Contact Nos. 09178838811/ 800-6818

MEDICAL REPORT
COMPANY NAME DATE OF EXAMINATION
PHILCARE-MAJOREL (ALABANG) 7/28/2022 2:26:27PM
PATIENT NAME BIRTHDATE
BRAVO, DEVEE ROSE DEVARAS 11/22/2001

I hereby certify that all the information I have disclosed, as reflected in this report, are true to the best of my knowledge and
belief, and that any misrepresentation or concealment on my part may lead to consequences, which may or may not include
termination, legal prosecution, expulsion, disqualification, etc.

I hereby authorize Hi-Precision Diagnostics and its officially designated examining physicians and staff to conduct the
examinations necessary to assess my fitness to work.

I give my consent to this clinic and its officially designated examining physicians and staff to furnish the results of this
examination to my potential employers or their authorized representatives

By signing this, I hold Hi-Precision Diagnostics and it’s authorized physicians and staff free from any criminal, civil,
administrative, ethical, and moral liability, that may arise from the above.

BRAVO, DEVEE ROSE DEVARAS

Printed name and Signature of Patient

MEDICAL EXAMINATION RATING SYSTEM

(Occupational Safety and Health Standards)
Department of Labor and Employment

RECOMMENDATION:
Class A - Physically fit for any work.
ü Class B - Physically under-developed or with correctible defects, (error of refraction dental caries,defective hearing, and
other similar defects) but otherwise fit to work.
Class C - Employable but owing to certain impairments or conditions, (heart disease, hypertension, anatomical defects )
requires special placement or limited duty in a specified or selected assignment requiring follow -up treatment/periodic
evaluation.
Class D - Unfit or unsafe for any type of employment (active PTB, advanced heart disease with threatened failure,
malignant hypertension, and other similar illnesses).

Physician: REGINA GAZELLE F. DIMALANTA, MD

License #: 0150740
** Report Electronically Signed Out ** Date: 7/29/2022 12:23:23PM

BRAVO, DEVEE ROSE DEVARAS - L0396985

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 HI - PRECISION DIAGNOSTICS
Lot 2 D1-3 Talos Dos Las Piñas City
Contact Nos. 09178838811/ 800-6818

MEDICAL REPORT
COMPANY NAME DATE OF EXAMINATION
PHILCARE-MAJOREL (ALABANG) 7/28/2022 2:26:27PM
PATIENT NAME BIRTHDATE
BRAVO, DEVEE ROSE DEVARAS 11/22/2001
SEX AGE CIVIL STATUS TEL NO OCCUPATION
F 20 Single 0922-695-9133 CUSTOMER SERVICE REPRESENTATIVE
MEDICAL HISTORY (For any Yes answers, please see Remarks)
Yes No Yes No
1. Head or Neck Injury Condition [ ] [ X ] 22. Hepatitis [ ] [ X ]
2. Eye Disease [ ] [ X ] 23. Tuberculosis [ ] [ X ]
3. Ear Disease or Deafness [ ] [ X ] 24. Malaria [ ] [ X ]
4. Nose or Throat Disease [ ] [ X ] 25. Dengue [ X ] [ ]
5. Skin / Scalp / Nail / Hair Condition [ ] [ X ] 26. Typhoid [ ] [ X ]
6. Asthma or Other Lung Disease [ ] [ X ] 27. Other Tropical / Parasitic Diseases [ ] [ X ]
7. Diabetes Mellitus [ ] [ X ] 28. Cancer / Tumor / Blood Dyscrasia [ ] [ X ]
[ ] [ X ] 29. Hospitalization / Operations [ X ] [ ]
8. Thyroid Disease
[ X ] 30. Smoker - Cigarette [ ] [ X ]
9. Other Endocrine Disease [ ]
30 a. sticks/day for years.
10. High Blood Pressure [ ] [ X ]
11. Heart Disease [ ] [ X ] 30 b. Quit smoking since
12. Digestive System Condition [ X ] [ ] 31. Alcoholic Beverage Drinker [ ] [ X ]
13. Hernia [ ] [ X ] 31 a. ( ) bottle(s) ( ) glasses ( ) shot(s) / session
14. Kidney or Bladder Condition [ ] [ X ] 31 b. ( ) Occasional ( ) Frequent
15. Female Reproductive System Condition [ X ] [ ] 32. Last Menstrual Period: 7/7/2022 to 7/11/2022 G. 0 P. 0 (0-0-0-0)
16. Male Reproductive System Condition [ ] [ X ] 32 a. ( X ) Reg ( ) Irreg ( ) Menopausal ( ) Surg. Menopause
17. Sexually Transmitted Disease [ ] [ X ] 32 b. ( ) Pregnant ( ) Post Partum ( ) No Menarche
18. Musculoskeletal Condition [ ] [ X ] 33. Present Medications [ ] [ X ]
19. Frequent Headaches / Dizziness [ ] [ X ] 34. Congenital Disease / Deformity [ ] [ X ]
20. Psychiatric Condition [ ] [ X ] 35. Allergies [ ] [ X ]
21. Seizures, Other Neurologic Disorders [ ] [ X ] 36. Family Medical History [ X ] [ ]
PHYSICAL EXAMINATION
37. HEIGHT 38. WEIGHT 39. BLD. PRESSURE 40. PULSE 41. RESPIRATION 42. BMI
160.0cm 63.0kg 110/70 mmHg 72/min 20/min 24.6 kg/m 2 Normal
43. Visual Acuity Far Vision Near Vision
Uncorrected OD 20 / 30 OS 20 / 30
Corrected ( ) with eyeglasses ( ) with contact lenses
Normal MEDICAL HISTORY AND PHYSICAL EXAM REMARKS
Yes No 12. Acid peptic disease, recurrent, currently asymptomatic: TRIGGER: COFFEE
15. PCOS
44. Skin X
25. Date: 2014
45. Head, Scalp X 29. Diagnosis: DENGUE, Management Done: MEDICAL MANAGEMENT, Hospitalization Date: 2014, Outcome:
46. Eyes X RESOLVED
47. Ears X 36. CANCER
44. Others: ACNE MARKS, BACK
48. Nose, Sinuses X 46. Error of refraction
49. Mouth, Throat X 51. Refused
50. Thyroid, Neck X 54. Stretch marks
56. Refused
51. Breast - Axilla X
57. Refused
52. Lungs X
53. Heart X
54. Abdomen X
55. Back X
56. Anus-rectum X
57. G-U System, X
Inguinal
58. Extremities X
Examining Physician: KAREEN GAEL A. ENRIQUEZ, M.D PRC License #: 0150019
BRAVO, DEVEE ROSE DEVARAS - L0396985
2219108235 Page 2 of 3
 HI - PRECISION DIAGNOSTICS
Lot 2 D1-3 Talos Dos Las Piñas City
Contact Nos. 09178838811/ 800-6818

MEDICAL REPORT
COMPANY NAME DATE OF EXAMINATION
PHILCARE-MAJOREL (ALABANG) 7/28/2022 2:26:27PM
PATIENT NAME BIRTHDATE
BRAVO, DEVEE ROSE DEVARAS 11/22/2001
ADDITIONAL MEDICAL HISTORY AND PHYSICAL EXAMINATION REMARKS

PATIENT DECLARES THAT HE/SHE HAS NO COVID-RELATED SYMPTOMS FOR THE PAST 10 DAYS, AND NO
EXPOSURE TO KNOWN COVID PATIENTS NOR RECENT TRAVEL OUT OF THE COUNTRY FOR THE PAST 14 DAYS.

PATIENT HAS UNDERGONE COVID-19 VACCINATION.

1ST DOSE: SINOVAC AUG 18 2021
2ND DOSE: SINOVAC SEPT 20 2021

TEST SUMMARY
Test Findings Recommendations

MEDICAL THE FOLLOWING ITEMS WERE NOTED WHILE SUGGEST GASTROENTEROLOGIST

HISTORY TAKING THE PATIENT MEDICAL HISTORY: CONSULT FOR ACID PEPTIC DISEASE IF
HISTORY OF ACID PEPTIC DISEASE, SYMPTOMS RECUR.
ASYMPTOMATIC

HISTORY OF PCOS NOTED. PCOS, SUGGEST CONSULT WITH OB.

PE DURING PHYSICAL EXAMINATION THE FOLLOWING SUGGEST OPTOMETRIST VISIT FOR

ITEMS WERE OBSERVED: PRESCRIPTION LENSES.
POSSIBLE ERROR OF REFRACTION IN DISTANCE
VISION.

SKIN OBSERVATIONS: ACNE MARKS, BACK SUGGEST DERMATOLOGIST CONSULT.

HEMATOLOGY NORMAL

FECALYSIS NORMAL

URINALYSIS NORMAL

DRUG TEST NEGATIVE

X-RAY NORMAL

Evaluation Date Remarks Classification Evaluator

7/29/2022 12:23PM CLASS B REGINA GAZELLE F.

DIMALANTA, MD,
License No.: 0150740

ADDITIONAL EVALUATION REMARKS

BRAVO, DEVEE ROSE DEVARAS - L0396985

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