MEDICAL EXAMINATION REPORT

I certify that i have carefully examined

Name : Akansha Singh

Dob. : 12/10/1998

Place of Birth : Rewa

Passport No. :

She is physically and mentally fit. She is not suffering from any infection or contagious

diseases.

Height :

Weight :

Blood Pressure :

Cardiovascular System :

Respiratory System :

Abdomen :

Genito-Urinary System :

Central Nervous System :

Musculoskelatal System :

INVESTIGATION

Blood Group & RH Type :

SERUM HIV 1 & 2 (ELISA) :