RWG OTEC SDN BHD ANNUAL HEALTH SCREENING REPORT FORM
MEDICAL REPORT FORM (#60)
Full Name
IC No.
Passport No.
Date of Birth
Age
Screening Date
BODY MASS INDEX
Weight
KG
Height
M
BMI
Normal BMI
Body Fat Percentage
%
Normal Body Fat Percentage
%
Body Fat
KG
Normal Body Fat
KG
Muscle
KG
Normal Muscle
KG
Physical Age
Visceral Fat
BMR
kcal
ELECTROCARDIOGRAM ECG
Blood Pressure
Heart Rate
Impression
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