(telat! entail Ayn) Eten JUBAIL MEDICARE COMPLEX MEDICAL CHECK UP SUMMARY / CERTIFICATE Fo. DATE 26/10/2036 reno: [[137970 Jeatecory: [C]_REGUIAR sioapcroup: [OVE PERSONAL DETAILS NAME: [MUHAMMED HAFIS ERASSERI PALLIVAUIL NATIONALITY: INDIAN AGE 32__ SEX: © mae O Fema PASS/IQAMA NO: 2266781042 DATE OF BIRTH: EMPLOYMENT DETAILS SPONSOR / COMPANY: JOB DESCRIPTION: em: pusai MEDICAL EXAMINATION HEIGHT: aicm. weight: 7a kes. Teme: Era PULSE: 71 b/min BP: 110/80 mmHg LUNGS & CHEST: NORMAL (ABNORMAL CARDIO VASCULAR: NORMAL ]_ ABNORMAL NEUROLOGICAL: NORMAL (ABNORMAL VISION: NEAR LEFT NORMAL LJ _ABNORMA RIGHT NORMAL [] ABNORMAL FAR LEFT NORMAL [] ABNORMAYRIGHT (4) NormaAL _()_ ABNORMAL HEARING: LeFT NORMAL _[_]_ABNORMAl RIGHT NORMAL] ABNORMAL GENERAL HEALTH CONDITION: NORMAL APPEARANCE: NORMAL IF SUFFERING FROM ANY CHRONIC DISEASES: Nit ADDITIONAL COMMENTS IF ANY: FITFOR WORK ‘ATTENDING PHYSICIAN MEDICAL DIRECTOR Tops Appa ELA FINGT pecBt-TAV gon @ANT IFIP BV gab A801 IFPI TARA/TAMR / PUM gpd = F098 AGA Soe Cie 2055023848 Tel. +966 13 363 1888/ 2888 / 2666 ~ Fax: +966 13 363 5666 - P. 0. Box 287 Jubail 31951 - Kingdom of Saudi Arabia E-mail: info@jubailmedicare.com - Website: www jubailmedicare.comciel atte! Age) ees JUBAIL MEDICARE COMPLEX BLOOD GROUP AND RH TYPE Printed On : 26/10/2036 "Time : 2:47:030M Page 1 of 1 + 0428065 Patient Name 26/10/2016 Age / Sex 032-Y = MALE ID 2266781042 ‘Company : eee = ee Referred By: (D109) - DR. CLINIC DOCTOR 3 1 CSH/108N454 BLOOD GROUP AND RH TYPE Tapani ipa LEbanIA FINO Jet =TAV gga ATT IF PU OV eguSLE = 9A UT IPE TARA /FAAR / FUN gg = 1880 TPAEA Saou ik. 2055023848 -Tel: 4966 13 363 1888/ 2888 / 2666 ~ Fax: +966 13 363 5666 - P. 0. Box 287 Juball 31951 - Kingdom of Saudi Arabia E-mail; info@jubailmedicare.com - Website: www jubailmedicare.com