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SL. No Name of the Post Quantity
(t) Consultant Mcdicine (Part Time/ Full Time) 0t
(2) I)athologist/ Microbiologist (Part'l'irnc/ltr"rll 01
'l'imc)

(3) Hematologist (Part Time/Ful1 Time) 01

(4) Biochemist (Part Time/Full Time) 01

(s) Laboratory'l'cchnologist (Full'l'imc) 03

(6) I{adiologist (l;ull'l'imc) 01

(1) Itadiographcr (Part'fimc/Full'l'ime) 0l

(B) Medical Officer (Full Timc) 02
(e) Computer Operator (Full Time) 02
(10) Salcty Officcr (l.ull 'l.irrc) 02
(l r) Clcancr (l;ull'l'irnc) 02
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(2) I Icpalitis Il & C ELISA (WHO Standard)
(3) VDRL '[est & TPI]A ELISA (WHO Standard)
(4) 'lest for Malarial Parasite
RDT (ICT Method)
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(1) Blood for RBS If need do FBS & PPBS (Two hours
afler 75 Gram Glucose drink)
(8) StoolRMII Standard
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positivc)
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Amphctam inc(Yaba)
(11) X-r'a1 Chcst l'lA Vicu To dctect Lung & Ilcart Diseases.

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Ilacliology (X-ray)
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nrachir.rc
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(r) Quality X-ray lrilrn
(4) Radiation protection system Approvcd by IIAITC

Biomcdical Instrumcnt
SI-. No Name of the Instrument Quantity
(t) IJinocular M icrosoopc (Olympus/Zciss) 02
(2) lJiochcrnislrv Analyzcr (Auto/Scrni Auto) 01

(3) Hematology Auto Analyzer 01

(Sysmex/S iemens/Pentra)
(4) Bench top centrifuge machine 02
(5) ELISA full set (l{eader, Washer, Shaker) 01

(6) Micropipcltc & Ancillary Instrument As per need

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 qRfit-l
Health Examination Report
Serial No: Date of Exam:

A. Pcrsonal Information:

Itull Namc : Mobilc Numbcr :

Nationality: I)atc of l]irth :

Passport No : Placc ollssue :

Nll) No : Gcndcr:
Posilion Dcstination
applicd lbr : Country:

Addrcss :

B. Physical Report :
llciglrt: f--- -l wcight, [--- -l gN4l : I]tood
I I I I ] l,ressurc'' i

Visul Acuity : Lcfl I.,ye : I{ight 111,c :

Colour Vision : Lclt Ilvc : ILight Ilyc :

Ilcaring : Lcft l.lar : Itight I.)ar :

Ilcrnia : Iipilcpsl,:

(* Ifrequired)
C. Laboratory Report:
BIood:
Blood group: lJrca:
Hemoglobin: S. Creatininc:
't'c: FBS & PPBS*:
I)C:

l]rine for RME:

Glucose: RBC:
Albumin: WI]C:
I)rcgnarrcy
'I'cst:
*l'rcgnancytcst (l,atcx & Slrip mcthod: Scrurr llcta-llCG ilposilivc) is lor lcrnalc rvorkcrs onlv.

5o
Stool for RME:

D. Radiology Report (X-ray Chest P/A View & Others*):

(* lf rcquircd)
E. Communicable Diseascs & DOPE Test Rcport:
& C (ELISA):
I-Iepatitis B rIIVl & FIIVz (ELISA):
VDRL Test & TPHA: Malarial Parasite (RDT):
DOPE T'est(Opiate): DOPE Test (Cannabis):
DOPE Test (Amphetamine): Microfilaria:

F. DOPE fest Report:

Opiate: Cannabis:
Amphetamine:

G. Summary & Rccommendation (Mentioning Fit/ Unfit for the job):

Signature of the Clinic Authority Signature of the Doctor

No of enlistment: BMDC I{cgn. No:

Seal of tlie Medical Centre Seal of thc Doctor (with namc)

Notc l: Starnp of 1hc Mcdical Ccnlrc/ Clinic on thc photo is rcquircd. Clinical ar-r1hori1y and Doctor
:lttrttlil siqtt lltc rel)()t't.

Notc 2: 'l'hc rncdical repofl and X-ray l'cpofl should bc subrnitlcd to thc hcalth ar-r1hori1y of thc countrv
o f' dcstir-ration (CoD).

55