Professional Documents
Culture Documents
General Health Checkup
General Health Checkup
General Health Checkup
Name: Address:
Age: Sex:
Qualification:
Occupation:
Income:
Blood Group: Phone:
HISTORY
1 Ht/Wt:
2 BMI:
3 Waist/ Hip:
4 WHR:
5 SBP/DBP
6 FBS
7 TC
8 TG
9 Stress Scale
1 Emotional
0 Intelligence
1
Addictions Scale
1
1
Sleeping Scale
2
1
Working Hours
3
1
Negative Eating
4
1
Journey Time
5
1 Good habits
6 score
GENERAL HEALTH CHECK-UP
Name: Address:
Age: Sex:
Qualification:
Occupation:
Income:
Blood Group: Phone:
HISTORY
1 Ht/Wt:
2 BMI:
3 Waist/ Hip:
4 WHR:
5 SBP/DBP
6 FBS
7 TC
8 TG
9 Stress Scale
Emotional
10
Intelligence
11 Addictions Scale
12 Sleeping Scale
13 Working Hours
14 Negative Eating
15 Journey Time
1
2
3
4
5
6
7
8
9
1
0
1
1
1
2
1
3
1
4
1
5
1
6
1
7
1
8
1
9
2
0
2
1
2
2
2
3
2
4
2
5
2
6
2
7
2
8
2
9
3
0
3
1