MEDICAL REPORT

Date:

Employees name:

Employees ID:

Department: NOC

........................................... :

Clinic/Hospital/Private Clinic of: .....................................

://

Doctors Remarks:

..................................
.......................................

..................................

.......................................

Sick Leave days: 1 Days

:

Tawasul Telecom (... )

Block c-28, Building # 9 - Kuwait Free Zone
Future Zone Area - Shuwaikh, Kuwait
P.O.Box 26451 Safat, 13126 Kuwait City
Phone : +965 2295 7000 - Fax: +965 24613492
E-mail : ttgeneral@tawasultele.com
www.tawasultele.com Registered on November 8th, 2005 CR110795, Authorized Capital K.D. 5,353.491 million

MEDICAL REPORT

Date:- 30-01-2016

Doctors Signature Doctors Stamp Clinic/ ()
Hospital Stamp
Ministry of health Stamp
(For Private Clinic only)

DEPT. MANAGER REMARKS:

:
Date employee resumed duty:
............................................... :
Dept. managers signature:

...................................................................... :

HUMAN RESOURCES REMARKS:

No. of previous sick leave days:

(Taken during this year)
Recommended Action .........................
.........................7

Tawasul Telecom (... )

Block c-28, Building # 9 - Kuwait Free Zone
Future Zone Area - Shuwaikh, Kuwait
P.O.Box 26451 Safat, 13126 Kuwait City
Phone : +965 2295 7000 - Fax: +965 24613492
E-mail : ttgeneral@tawasultele.com
www.tawasultele.com Registered on November 8th, 2005 CR110795, Authorized Capital K.D. 5,353.491 million