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Report of the examining authority (Qo be filed in for every medical examination whether intial or periodical or re -examination or after ‘curelcontrol of disability). Annexure to Certificate No.2°2009.2.. as result of medical examination on 2E—Olp~ 201 Identification Mark... Left thumb impression ofthe candidate General_development: Good / Fair Poor Height: 32-3 ems Weight, Some KG Eyes: (Visual acuity - Distance vision (wih or without glasses) Right Eye.G/. Lett Eye E16. ). Any organic disease ofthe eyes nes (iil) *Night blindness = — Wo (v) "Colour blindness. — Wo (v) *Squint — No 5 fobs ose eects )) Hearing Right ear_.INSRMEH..Lettear NER MPL i) Any organic disease NO 6. Respiratory system Chest measurement (i) After full inspiration .. (i)_ After full expiration 7." Circulatory system Blood Pressure 12> /SO cms cms. Pulse 8 Abdomen: Tendemess NO Liver Nore Spleen NoMa Tumour 9, Nervous system History of fits or epilepsy = {/O Paralysis RID Mental health Geom 10. Locomotor System Wee h 11. Skin HEAT 12. Hema Ni 13, Hydrocele "Ni 14. Any other abnormality No 18, Urine: Reaction ABee ny Cree bane — Sugar es : 16. Skiagrem of chest! jvormar— 9s 47. Any other °C” test considered necessary by i@bxamining authority — WO 18, Any opinion of specialist considered necessary" NO pe ser CoM. BASHA MEDAL CEE 2IPage

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