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    Medical Fitness Test Certificate

    Uploaded by

    Cyprian Aende
    The medical certificate summarizes the physical examination of Mr. [NAME] and determines he is fit for construction work. The doctor examined the patient and found no abnormalities or chronic/infectious diseases. His eyesight is normal with or without glasses. Based on medical tests, the person is physically and mentally able to work at heights and in construction.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Medical Fitness Test Certificate

    Uploaded by

    Cyprian Aende
    34 views3 pages
    The medical certificate summarizes the physical examination of Mr. [NAME] and determines he is fit for construction work. The doctor examined the patient and found no abnormalities or chronic/infectious diseases. His eyesight is normal with or without glasses. Based on medical tests, the person is physically and mentally able to work at heights and in construction.

    Original Description:

    medical fitness certificate

    Original Title

    MEDICAL FITNESS TEST CERTIFICATE

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    The medical certificate summarizes the physical examination of Mr. [NAME] and determines he is fit for construction work. The doctor examined the patient and found no abnormalities or chronic/infectious diseases. His eyesight is normal with or without glasses. Based on medical tests, the person is physically and mentally able to work at heights and in construction.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    34 views3 pages

    Medical Fitness Test Certificate

    Uploaded by

    Cyprian Aende
    The medical certificate summarizes the physical examination of Mr. [NAME] and determines he is fit for construction work. The doctor examined the patient and found no abnormalities or chronic/infectious diseases. His eyesight is normal with or without glasses. Based on medical tests, the person is physically and mentally able to work at heights and in construction.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    MEDICAL FITNESS CERTIFICATE

    Certified that I, Dr. ________________________________________ have examined Mr.

    ___________________________ aged __________ on (Date) _________________ . Physical

    examination of Mr. _______________________________Do not reveal any abnormality. He/She does

    not suffer from any acute/chronic skin disease or any contagious or infectious disease. His eyesight is

    normal with/without glasses. From the medical test reports, the person mentioned is physically and

    mentality fit for working at height and construction works.

    Details of Examinations

    1. Age___________

    2. General and Systematic Examination:

    2. Pulse 2.10 Depth of Vision Normal Abnormal

    2. B.P 2.11 Nystagmus Normal Abnormal

    2. Weight 2.12 Rhomberb sign Normal Abnormal

    2. Height 2.13 Hearing Normal Abnormal

    2. Pallor Yes No 2.14 Muscular Normal Abnormal


    Coordination
    5

    2. Flat Foot Present Absent 2.15 Cardio Vascular Normal Abnormal


    System
    6

    2. Gait Normal Abnormal 2.16 Respiratory Normal Abnormal


    System
    7

    2. Vision Normal Abnormal 2.17 Central Nervous Normal Abnormal


    System
    8

    2. Color Vision Normal Abnormal

    3. Previous History of:

    3.1 Seizure disorders (Epilepsy) Yes No

    3.2 Frequent Headache or reeling sensation Yes No

    3.3 Mental depression Yes No

    3.4 Acrophobia Yes No

    4. Investigation

    4.1 Urine

    Albumin:

    Sugar:

    4.2 Blood

    CBC:

    Random Blood Sugar (if age is above 35 years)

    5. X-Ray:

    Required/Not Required. …………………………………………………………………………………………….

    If Required - Details of report: …………………………………………………………………………………….

    Signature of Employee Signature and Rubber Stamp


    Of Medical Practitioner with Reg No.

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