BNM 2.0: HEALTH SCREENING REPORT
BNM2.0 - Health Screening Report Form
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
PEAK FLOW TEST
PEF #1
PEF #2
Impression
BONE DENSITY TEST
T-Score
Impression
ELECTROCARDIOGRAM ECG
Blood Pressure
Heart Rate
Impression
ULTRASOUND
Ultrasound
FEMALE ULTRASOUND
MALE ULTRASOUND
BREAST ULTRASOUND
Impression
ABDOMINAL ULTRASOUND
Liver
Gallbladder
Pancreas and spleen
Kidney
Urinary bladder
PELVIC ULTRASOUND
Impression
PAP SMEAR
Impression
ABDOMINAL ULTRASOUND
Liver
Gallbladder
Pancreas and spleen
Kidney
Urinary bladder
PROSTATE ULTRASOUND
Impression
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