MALAYSIA

Medical Report For Foreign Worker

MC Ref. No : ML-24-1712 MEDICAL APPROVAL DATE : 16/04/2024 , VALID UNTIL : 15/07/2024

1. FULL NAME PHOTO

ISLAM MD ARIFUL

2. REGISTRATION NO BGD/304/EH0/20240408130459/112983

3. FATHER'S NAME MD FOIZUL ISLAM

4. MALE / FEMALE MALE 5. AGE : 33 YEARS

6. PASSPORT NO EH0792234

7. TYPE OF WORKER FOREIGN WORKER

8. RESIDENCE IN COUNTRY OF ORIGIN

ADDRESS
EH0792234
CUMILLA

COUNTRY BANGLADESH

9. NAME OF RECRUITING AGENCY PATH FINDER INTERNATIONAL

10. ADDRESS OF RECRUITING AGENCY HOUSE # 79 (LEVEL -5) BLOCK # L , TARAK MANSION, CHAIRMA
N BARI ,BANANI, DHAKA -1213

I HAVE EXAMINED THE FOLLOWING DETAILS AND FOUND THAT :

1. HE IS FREE FROM THE FOLLOWING DISEASES/CONDITIONS :

YES NO YES NO
HIV/AIDS SYPHILIS
TB HEPATITIS B
MALARIA UNACCEPTABLE CLINICAL FINDINGS IN CHEST X-RAY
LEPROSY TUMOR/CANCER
FREE FROM OTHER CHRONIC DISEASES EPILEPSY

PHYSICAL EXAMINATION MENTAL ILLNESS

HEPATITIS C FILARIASIS
LEISHMANIASIS

2. HIS URINE IS FOUND NOT TO CONTAIN OPIATE/CANNABIS/METHAMPHETAMINE

3. HE IS FIT TO WORK

4. I THEREFORE RECOMMEND THAT HE BE CONSIDERED FOR EMPLOYMENT

ADDITIONAL INFORMATION:

HE IS FIT

DOCTOR SIGNATURE AND NAME DOCTOR ADDRESS

RAINBOW HEARTS MEDICAL C

ENTRE

DOCTOR SEAL

DR FAKIR SHEKH MUNTASIR AHM

ED

DOCTOR QUALIFICATIONS
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