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Medical Report Form: Weija/Gbawe Municipal Hospital Laboratory Report Sheet P.O Box ML 361 TEL. No: 0302-911965

Richmond Adjei, a 25-year-old male, underwent a medical examination which found him to be in normal health. Laboratory tests showed his blood work, including tests for hepatitis B, hepatitis C, syphilis, HIV, and tuberculosis, were all negative. The examining biomedical scientist certified Richmond as medically fit to travel based on the results of the examination and tests.

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544 views1 page

Medical Report Form: Weija/Gbawe Municipal Hospital Laboratory Report Sheet P.O Box ML 361 TEL. No: 0302-911965

Richmond Adjei, a 25-year-old male, underwent a medical examination which found him to be in normal health. Laboratory tests showed his blood work, including tests for hepatitis B, hepatitis C, syphilis, HIV, and tuberculosis, were all negative. The examining biomedical scientist certified Richmond as medically fit to travel based on the results of the examination and tests.

Uploaded by

SAMMY
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
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WEIJA/GBAWE MUNICIPAL HOSPITAL

LABORATORY REPORT SHEET


P.O BOX ML 361
TEL. No: 0302-911965

MEDICAL REPORT FORM


NAME: RICHMOND ADJEI
AGE: 25 YEARS
SEX: MALE
GENERAL PHYSIQUE: NORMAL HEIGHT: 159CM. WEIGHT: 72 KG

CHEST, LUNGS & HEART: NORMAL SKELETAL SYSTEM: NORMAL

BLOOD PRESSURE: 120/85mmHg EAR, NOSE & THROAT: NORMAL

ABDOMEN: NORMAL NERVOUS SYSTEM: NORMAL

URO-GENITAL SYSTEM: NORMAL PULSE: 80bpm

VISION(SIGHT): VR6/6 VL6/6 HERNIA: NIL

SKIN: NORMAL

LABORATORY TEST

HAEMOGLOBIN: 13.6g/dl HEPATITIS B: NON-REACTIVE

BF FOR MP’s: NO MPs SEEN HEPATITIS C: NON-REACTIVE

SICKLING: NEGATIVE SYPHILIS: NON-REACTIVE

BLOOD GROUP: O Rh”D” POSITIVE HIV 1&2 SCREENING: NON-REACTIVE

TUBERCLOSIS(SPUTUM): NON-REACTIVE

CERTIFICATE

I CONSIDER THIS APPLICANT MEDICALLY FIT TO TRAVEL.

BIOMEDICAL SCIENTIST……………………………

DATE…………………………

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