Scribd
Upload
381 views2 pages

Jerome

Ronn Jerome D. Umali, a 20-year-old single man, underwent a pre-employment physical examination at Purehealth Diagnostic Center on November 5, 2019 for a job as a DISER at Watt Japan Outlet Savemore paliparan. The physical examination, chest x-ray, laboratory tests and electrocardiogram showed normal results. He was classified as Class A, meaning fit for all types of work. The examination cannot rule out asymptomatic or diseases requiring specialized testing.

Uploaded by

Nads Decapia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
381 views2 pages

Jerome

Ronn Jerome D. Umali, a 20-year-old single man, underwent a pre-employment physical examination at Purehealth Diagnostic Center on November 5, 2019 for a job as a DISER at Watt Japan Outlet Savemore paliparan. The physical examination, chest x-ray, laboratory tests and electrocardiogram showed normal results. He was classified as Class A, meaning fit for all types of work. The examination cannot rule out asymptomatic or diseases requiring specialized testing.

Uploaded by

Nads Decapia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

PUREHEALTH DIAGNOSTIC CENTER INC.

GLO’S Bldg. Blk 4 Villa Maria Subd. GSIS Road, Molino 3, Bacoor Cavite.
Smart: 09198157473 Globe: 09950281611

ROENTGENELOGICAL REPORT

Name: UMALI RONN JEROME D. Civil Status: SINGLE


Address: B10 L41, SALAWAG DASMA, Cavite. Date of Birth 8/18/1998
Company Watt Japan 0ulet Savemore paliparan Age/Sex: 20M
Job Applied for: DISER Date Examined: 5-NOV-2019

NATURE OF EXAMINATION: ( ) PRE-EMPLOYMENT ( ) ANNUAL ( ) OTHERS


SIGNIFICANT MEDICAL HISTORY:
Personal & Family History
Past Disease
Accident & Operations
Allergies & Idiosyncrasies
Others
Chest X-RAY Result:
( ) Essential normal findings
( ) Significant findings
Laboratory Results
Blood Examination Urinalysis Drug Test HbsAg Stool Examination
Hemoglobin ( ) Normal MET= ( ) ( ) Negative ( ) Normal
Hematocrit ( ) Significant findings THC= ( ) ( ) Reactiveb ( ) Significant findings
RBC
WBC
Blood Typing
V. D. R. L ( ) Not done Pregnancy Test ( ) Not done AIDS TEST Electrocardiograms ( ) Not done
( ) Non-Reactive ( ) Positive ( ) Positive ( ) Within normal limits
( ) Reactive ( ) Negative ( ) Negative ( ) Significant findings
PHYSICAL EXAMINATION
Blood Pressure Visual Acuity Uncorrected Corrected
Respiratory Rate OS OS
Pulse Rate Distant: OD OD
Height OS OS
Weight Near: OD OD

DENTAL EXAMINATION
Upper R
Lower R
M-Missing J- Jacket Crown D- Dentures
X- indicating for Extraction U- Unerupted R- Root Fragments
COLOR PERCEPTION
PART EXAMINED NORMAL PERMANENT FINDINGS
Head, Neck and Scalp
Teeth, Gums
Nose, Mouth, Throat
Eyes, Ears
Heart
Lungs
Abdomen, Anus, Genital
Spine, Upper & Lower Extremities
Skin & Glands
Reflexes
Remarks/Recommendation:
Class A _____ Fit for all types of work
Class B _____ Fit for all types of work, however advised to do repeat urinalysis after 1 week __________
Class C _____ Fit for work but limited to less strenuous activities. Need treatment for_______________
Class D _____ Pending please see undersigned

Mabel Nogas Lic No:


Prepared By PTR No:

UMALI RONN JEROME D.


Signature of Applicant

Note: The above examination cannot cover disease not to use especially if they are Asymptomatic at the time the examination conducted nor can it cover disease
that would require special or sophisticated examination
.

You might also like