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e TY) RAHNUMA - FPAP wf, FAMILY HEALTH HOSPITAL, ISLAMABAD ‘ac ning and Prto Eon Arent ot Ao ar ir esi es sts Ar Ras Ves Poe a nS Chapenon i Sage oxen sonora Sei Tone Tran ie Reston oud Bata sean ean, Me Neer Be Chie Execute Ofer. Syed Karl Shah Regina Direcor Amir Hamed ‘Macca Superintendent Rutina tein To Whom it Concern Certify that Mr. Mirza Fahad Baig So M. Mugeem Baig examined by me and ! et . (Dr. Tasneem Etahi) Family Health Hospital Islamabad. he is found medically and physically fit for any assignment. ‘Street # 30, Sector |-10/4, Istamabad, UAN: +92-51-111 22 33 66, Fax: +92-51-4443156, E-mail: thh_isb@yahoo.com EXPERT DOCTORS - MODERN EQUIPMENTS - QUALITY SERVICES = Gynae/Matemity Services = Paediatics = Cardiology» Dermatology = Speech Therapy = Utrasound Mother & Child Health Care = Urology "ENT = GSugey = Laparoscopic Suigery = XRays = RHiFamily Planning Services = Medical = Eye = Physiotherapy = Diagnostic Laparoscopy = Laboratory * Sale Motherhood = Ohosaedic —® Dental = Psychotherapy = Pharmacy Family Health Hospital ‘StWe. 30.1-10/4, Istamabad. WAM: (92-511111-22-33-66 Medical Examination Report re - Employment Penodic Check-up | EMPLOYEE PARTICULARS eprovees nawe | ATS. Prahed. Wesyearnersnawe Mavis. Mueveno Bey mr Sex BIRTHDATE wayimerm vou. DS TH / 19 Bq HOME PRONE . NATIONALITY HOME ADDRESS. Karnes JOB DESCRIPTION. TRA (00 YOU HAVE OR HAVE YoU HAD Check "Yes" or No" column for put" if urcertarny Yer No yes No Yer No 4 Davy von 1 hee dieser FOR WOMEN ONLY ZAstahonehs ZF] Hahked pressure flareyou eer had danyaxnoane =] 8Dateres ‘An aoramal PAP smear 4 Tuseraiese =] toe pies 12 A greg wearer § Shotnes oben a 13.4 you popront? 6 Vanesa vrs ‘Aergies ta medcation: Yes Wh¥es" specty 1 Goneral State of Health Excelient’ 6096 Balt ones POO 2 aoyspeacingairnen Yes No[= 3 Pryce aan, ver No| ‘TO BE COMPLETED BY THE EXAMINING PHYSICIAN PRE-EMPLOYMENT CHECK-UP ONLY: Drug Testrg Performed ? Yes No Ploase update vaccinations; Indicate vaccinations performed during this examination Polio [P} Tetanus se] Hepatiis B Yellow Fever [Ye] Hepattis A Lks] Typhois Other Please give details MEDICAL EXAMINATION IF ABNORMAL, PLEASE GIVE DETAILS. ‘Abnormal 4 Eyes an Panis 2 Ear! Nase Tost 3 Tee and mouth 4 Lungs and chest 5 Cardovasolor 6 Abee Vise 7 Hema rtioss 3 Ams ane tectum 9 Gonto-uinary 10 Enemies 11 Musou. Skeletal 12 Sanvareage vens 13 Newolgical 14 Breast feosecoscecece’s ‘ood Prnnwe] [Pate Tang Ween [ra | Wogaae Hae/y.} [8] EE] RSE i 9a IW fa Teer inon yh Page 1 of 2 PARA-CLINICAL EXAMINATION Normal ‘Abnormal ECG (For above 35 years only) a a Chest X-Ray e a Loop cP wee TPS some Rec umes? nemoctosn .. 14.9....9 HEMATOCRIT % NEUTRO % LYMPHO % MONO % EOSINO % Negative Posie BLOOD GROUP lMbsAg uv A tee lev = “ayn aes law Soonsoner HLA Le cONCLUSIOI Fitfor al areas ves id 4 # you answer NO please ge deat of your reasons) IMustbe assessed Yes No vets ft t foe ob SARE Begone « [STAMP SEAL ‘Date of medical examination (day / month f year) det EXAMINING PHYSICIAN'S NAME AND ADDRESS: Name First nerve Street iy ‘County Tele Fax mai, Page 2 of 2 RAHNUMA - FPAP FAMILY HEALTH HOSPITAL, ISLAMABAD _AProjat of RAHNUMA (Fail Panning Assocation of Pakistan) RAHNUMA AM Asscisn ofthe nterational Planned Parenthood Federaon Street # 30, Sector I-t0/4, Islamabad, UAN: +92-51-111 22 93 66, Fax: +92-51-4443188, E-malt fhh_ist@yahoo.com LABORATORY SERVICES FINAL REPORT Receipt No. : PETRO LabNo, 602 Patient Name : Mirza Fahad Baig Age / Sex +: 26 Years / Male vin 15-03-2014 Reporting Date : 15-03-2014 SST SSS CLINICAL CHI REPORT Test RESULT UNIT NORMAL RANGE 119 mg/dl 80-160 BLOOD SUGAR RANDOM FHA, Islamabad Chemistry, Haematology, Microbiology, Histopathology & Serology. ‘« Incorrect result = Please call on UAN: (92-51) 111-22-33-66 for repeat within 24 hours. RAHNUMA - FPAP \A FAMILY HEALTH HOSPITAL, ISLAMABAD RAHNUMA ‘A Member Association othe Irterational Planned Parenthood Federation A Pojct of RAHNUNA Family Planing Assist of Pakistan) Slreet # 30, Sector -10/4, Islamabad. UAN: 49251-4111 22.33 66, Fax: +82-61-4443156, E-mail: thh_isb@yahoo.com LABORATORY SERVICES. FINAL REPORT ReceiptNo. : PETRO LabNo. 602 Patient Name =: Mirza Fahad Baig Age/Sex 1 25 Years/ Male Receiving Date: 18-03-2014 Reporting Date : 15-03-2014 Ref. By + FHA HAEMATOLOGY REPORT Blood Complete Picture WBC 7,000 fu {4,000 - 44,000) RBC 8.25 mul, (40 -5.5} Haemoglobin 140 gid! M13 -17)F: 12-18 HeT “8 % 36-50 MCV a2 76-96 MCH 27 a 27-32 MCHC 32 pa 30-36 Platelet Count 136,000 ful 150,000 - 450,000 Neutrophils% 80 % 50-70 Lymphocyiest 38 % 20-40 Monocytes’ 02 % 02-08 Eosinophis% 02 % 01-04 a Hoo Medical PATHOLOGIST Lab Tech: FAH, Islamabad * Facilities available = Chemistry, Haematology, Microbiology, Histopathology & Serology. * Incorrect result = Please call on UAN: (92-51) 111-22-33-66 for repeat within 24 hours. 6 RAHNUMA - FPAP FAMILY HEALTH HOSPITAL, ISLAMABAD RAHNUMA | Merrber Associton ofthe nteratonl Planned Paterthod Federation A Project of RAHNUMA Family Planing Assan of Pakistan) ‘Street # 30, Sector I-10/4, Islamabad. UAN; +92-51-111 22 33 66, Fav: +92-61-4443156, E-mail: hh_isb@yahoo.com LABORATORY SERVICES FINAL REPORT Lab No. +802 Age/Sex — : 25 Years /Male Reporting Date : 15-03-2014 ReceiptNe. : PETRO. Pationt Name; Mirza Fahad Balg {OLOGY REPORT Test ‘RESULT HBsAg -Rapid ICT Negative Hepatitis ICT Negative Mi PATHOLOGIST FAH. Islamabad * Facilities available = Chemistry, Haematology, Microbiology, Histopathology & Serology. * Incorrect result = Please cail on UAN: (92-51) 111-22-33-66 for repeat within 24 hours. eo: RAHNUMA - FPAP FAMILY HEALTH HOSPITAL, ISLAMABAD Rts tan to want red Pad Fron Ait RAJU ae Bing Asin fk) Street # 30, Sector 1-10/4, Islamabad. UAN: #92-51-111 22 33 66, Fax: +92-61-4443156, E-mail: fhh_isb@yahoo.com LABORATORY SERVICES FINAL REPORT ReceiptNo. : PETRO Lab No. 602 Patient Namo: Mirza Fahad Baig Age!Sex = 25 Years/Malo Receiving Date: 16-03-2014 Reporting Date : 16-03-2014 Ref. By ‘HH SSeS INE ROUTINE EXAMINATION TEST NAME RESULT NORMAL VALUE Physical Examination Colour Yellow Yellow Turbidity Nil Nit Sediment Nil Chemical Examination Specific Gravity 1.015 1.008 - 1.030 (After 12 hrs. fluid restriction > 1.025) Ph 6.0 70 Protien Nil Nil Glucose Nil Nil Ketones Nil Nil Urobilinogen Nil Nil Bilirubin Nil Nil Blood Nil Nil Microscopic Examination Pus Cells 1-2 M: 0-3, F:0-5/HPF Red Blood Cells. Nil 0+ UHPF fedical PATHOLOGIST uo T FHI. Islamabad + Facilities available = Chemistry, Haematology, Microbiology, Histopathology & Serology. * Incorrect result = Please call on UAN: (92-51) 111-22-33-66 for repeat within 24 hours. S? RAHNUMA - FPAP mA FAMILY HEALTH HOSPITAL, ISLAMABAD CRN UMA tte kaminn Penrod ems ed a ag Acta ‘Street # 30, Sector |-10/4, Islamabad. UAN: +92-51-11t 22 33 68, Fax: +92-51-4443156, E-mail: fhh_isb@yahoo.com DEPARTMENT OF DIAGNOSTI LOGY pate SL, Ref. No: GA Winder Saeel! Cay SI