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WWW.MCLABCLINIC.

COM
Upper Ground Floor Worldwide Corporate Center
Shaw Boulevard, Mandaluyong City 1550
02 5310-4079 | 0917-325-2457 | 0945-833-7388
[email protected]

Control #: A23-00363005
Name: TUBAY , ALVIN LAKE G Date of Exam: 10/19/2023
Address: Contact No:
Birthdate: 02/12/1995 Age: 28 Sex: Male Civil Status:
Company: CREDITCORP INCORPORATED Type of Work:
Examination: ANNUAL CHECK UP

MEDICAL EXAMINATION REPORT


I. PERSONAL HEALTH HISTORY

Present Illness: None


Past Medical History: Bronchial Asthma (Childhood: 6 y/o)
Family History: Heart Disease- Maternal side
Allergies: None
Personal/Social History: smoking ave of /day Vape Drinking of alc Bev: Yes Others: Occasional (2-3 bottles beer)
II. VITAL SIGNS III. VISUAL SCREENING IV. DENTAL SCREENING

Height: 166 cms. / 5 ft. 5 inchs. OD OS Findings:


Weight: 89.4 kgs. / 197.13 lbs. Far Vision 20/25 20/20 Recommendations:
BMI: 32.44 Near Vision J1 J1
BMI Classification: Obese I Ishihara Color V. AUDITORY SCREENING
Temperature: 36.0 Test
Blood Pressure: 120/80 With Correction AD:
PR: 96 Far Vision NO AS:
RR: 19 Near Vision
Intermediate Vision

VI. PHYSICAL EXAMINATIONS Findings


Gen. Appearance Normal
Skin Normal
Head and Eyes Normal
E.N.T. Normal
Neck Normal
Chest, Breast, Axilla Normal
Lungs Normal
Heart Normal
Abdomen Normal
Back, Flank Normal
Extremities Normal
Reflexes Normal
Genitals Refused and Signed
Rectal Refused and Signed
Neurological Normal
VII. DIAGNOSTIC EXAMINATIONS Findings
Negative
Tetrahydrocannabinnol (Marijuana)

Methamphetamine (Shabu) Negative


CBC Normal
Urinalysis Normal
Chest X-Ray NormaI
VIII. ASSESSMENT AND RECOMMENDATIONS

Bronchial Asthma not in exacerbation - advised to avoid


allergens/triggers that can cause asthma attack.
Obesity- advised balanced diet, regular exercise and weight reduction.
IX. HEALTH CLASSIFICATION B - Physically fit for all types of work has minor ailment/defect
Examining physician: LINNAEUS LOUISSE A. CRUZ,
Note: The above examination cannot cover diseases not told us MD LIC. NO. 0158847 Medical Evaluator: EVELYN C. NEPUSCUA, MD LIC.
especially if they are asymptomatic at the time of examination nor can Lic. No.: PTR. No.: NO. 115163
it cover diseases that would require special test for their detection. Date: 01/04/2024
IMPORTANT: Do not accept result if there is evidence of tampering.
No signature required, electronically generated.

MEDICAL RATING: CLASS A - Physically fit for all types of works. CLASS B - Physically fit for all types of
works has minor ailment/defect. CLASS C - Physically fit for certain jobs. Employment at discretion/Risk of
management. CLASS D - Pending for further evaluation. PENDING - Incomplete laboratory and/or physical
examination.

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