- •Personal medical book s Photograph eries aб
- •Information on the medical book’s owner:
- •Conclusion of the physician on the admission to work according to the results of medical examination
- •Conclusion of the physician on the admission to work according to the results of medical examination
- •Results of laboratory analyses for presence of enteric infections agents
- •Results of laboratory analyses and examination by the specialist in skin and venereal diseases
- •Results of analyses for helminthosis
- •Results of analyses for pathogenic staphylococcus
- •Notes on prophylactic vaccinations
Results of laboratory analyses and examination by the specialist in skin and venereal diseases
Date |
Specialist’s conclusion |
Signature, seal |
18.11.2004
18.11.2004 19.09.2005
19.09.2005 20.09.2006 20.09.2006 |
gn No. 25 Normal
RW No. 23 – 42 Negative gn No. 2 Normal
RW No. 1 – 105 Negative gn No. 25 Normal RW No. 25 – 1017 Negative |
[Signature] [Seal: Alkova Oksana Anatoliyivna] [Signature] [Signature] [Seal: Alkova Oksana Anatoliyivna] [Signature] [Signature] [Signature] |
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No. 746297
Results of analyses for helminthosis
Date |
Specialist’s conclusion |
Signature, seal |
17.11.2004
19.09.2005
21.09.2006 |
Stamp: Eggs and helminths in faeces, in scraping enterobiasis were not found.
Stamp: Eggs and helminths in faeces, in scraping enterobiasis were not found.
Stamp: Eggs and helminths in faeces, in scraping enterobiasis were not found.
|
[Signature] [Seal: Head of laboratory Skrypchenko Lyudmyla Semenivna] [Signature] [Seal: Head of laboratory Skrypchenko Lyudmyla Semenivna] [Signature] [Seal: Head of laboratory Skrypchenko Lyudmyla Semenivna] |
Page 24
Results of analyses for pathogenic staphylococcus
Date |
Specialist’s conclusion |
Signature, seal |
19.11.2004
19.11.2004
20.09.2005
15.09.2006 |
Dentist. Earlier was sanified.
No complaints. Otolaryngologist.
Stamp: Communal institution City Polyclinic No. 14 City of Odesa Bacteriological laboratory Pathogenic staphylococcus was not defined. 19.11.2004 272 Head of bacteriological laboratory
Stamp: Ear, nose, throat without pathology.
Stamp: Ear, nose, throat without pathology.
|
[Signature] [Seal: Kazakova. Physician]
[Signature] [Seal: Kosynska Oksana Borysivna. Physician]
Signature] [Seal: Kosynska Oksana Borysivna. Physician]
[Signature]
[Signature] |
Page 28