MALAYSIA
Medical Report For Foreign Worker
MC Ref. No : 290 MEDICAL APPROVAL DATE : 07-09-2023 , VALID UNTIL : 06-12-2023
1. FULL NAME PHOTO
AHAMED MD KAWSAR
2. REGISTRATION NO BGD/290/A11/20230828180008/119118
3. FATHER'S NAME MD SOHIR SORKAR
4. MALE / FEMALE MALE 5. AGE : 19 YEARS
6. PASSPORT NO A11225095
7. TYPE OF WORKER FOREIGN WORKER
8. RESIDENCE IN COUNTRY OF ORIGIN
ADDRESS
A11225095
CHANCHKOIR GARISHAPARA GURUDASPUR, CHACHKORI
NATORE
COUNTRY BANGLADESH
9. NAME OF RECRUITING AGENCY EAST WEST PARADISE
10. ADDRESS OF RECRUITING AGENCY 291, FAKIRAPOOL, JOMIDAR PALACE, (E-8) INNER CIRCULAR R
OAD, DHAKA-1000
I HAVE EXAMINED THE FOLLOWING DETAILS AND FOUND THAT :
1. HE IS FREE FROM THE FOLLOWING DISEASES/CONDITIONS :
YES NO YES NO
HIV/AIDS SYPHILIS
TB HEPATITIS B
MALARIA UNACCEPTABLE CLINICAL FINDINGS IN CHEST X-RAY
LEPROSY TUMOR/CANCER
FREE FROM OTHER CHRONIC DISEASES EPILEPSY
PHYSICAL EXAMINATION MENTAL ILLNESS
HEPATITIS C FILARIASIS
LEISHMANIASIS
2. HIS URINE IS FOUND TO CONTAIN OPIATE/CANNABIS/AMPHETAMINE
3. HE IS UNFIT TO WORK
4. I THEREFORE RECOMMEND THAT HE BE NOT CONSIDERED FOR EMPLOYMENT
ADDITIONAL INFORMATION:
WORKER IS UNFIT
DOCTOR SIGNATURE AND NAME DOCTOR ADDRESS
SKN HEALTH SERVICES
DOCTOR SEAL
DR MD ABDUL BASAD KHAN
DOCTOR QUALIFICATIONS
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