Ra
Personal Details
User Name => Ra
Father Name => Raja ram
Mother Name => Pushpa
Date Of Birth => 18.07.1989
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Family History
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Medical History
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a) During last 5 years did you consult a Medical Practitioner for any ailment requiring treatment for more than a week? =>
b) Have your ever been admitted to the hospital or nursing home for general check up, observation, treatment or operation? =>
c) Have you remained absent from the place of work on grounds of health during the last 5 years? =>
d) I am fully fit and I am not taking any medicine of BP / Sugar =>
Adhaar card => IMG-20230522-WA0008.jpg
Pan Card => IMG-20230522-WA0003.jpg