Medical Form DARSHAK - UPL

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HRD-F-09

Ref: UPL-5/JHA/HRD/2023 Date: 02-11-2023

Dr. Darshana Joshi


Jayaben Modi Hospital
GIDC,Valia Road
Ankleshwar: 393 002

Sub: Medical Examination

Dear Sir,

We have selected SARKHEDI DARSHAK for a suitable post in our organization, who will
approach your Hospital for his/her Medical Examination.

You are requested to carry out his/her Medical Examination as per the following:

1. Physical Examination.
2. Hematology Profile - Complete Blood Count with Differential Count, ESR
3. & Blood Group & Rh factor.
4. Liver Profile - SCGOT, SGPT & Serum Bilirubin.
5. Kidney Profile - Blood, Urea, Uric Acid & Creatinine.
6. Lipid Profile - Cholesterol, Triglycerides, HDL - Cholesterol - VLDL Cholesterol,
7. LDL - Cholesterol, Cholesterol - HDL Cholesterol Ratio (Risk Factor).
8. RBC Cholinesterase
9. Audiometry
10. Spirometry(PFT)
11. General Tests - Routine Urine & Stool Examination.
12. X-Ray Chest - P A View.
13. E C G Signed by Cardiologist.
14. Blood Sugar.
15. Sonography

Request you to send us Medical Test Reports to the undersigned within two days.

Thanking You,

Yours Faithfully,

For UPL Limited– Unit- 5


Human Resources
UPL Limited, Jhagadia

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