1099

icction (4) of icction 59 of the said Act, hereby makes the

following rules further to amend the Mines Rules, 1953.

namely :—

1. (1) These rules may be called the Mine* (Amendment)

Rules, 1978.

(2) They shall come into force on such date as the Cent-

ral Government may, by notification in the Official Gazette,

appoint and different dates may be appointed for different

class of mines or persons employed in the mines.

2. After Chapter IV of the Mines Rules, 1955, (herein-

after referred to as the said rules), the following Chapter shall

be insetted, namely :—

"CHAPTER IVA

Medical Examination of persons

Employed or to bo

employed in mines.

29A. Applicability of thia Chapter.—Nothing in this Chap-

ter shall appfy to persons who are employed purely on tem-

porary or casual basis for a continuous period not exceeding

six months,

29B. Initial and periodical medical

examinations.-—After

such date or dates as the Central Government may by noti-

fication in the Official Gazette appoint in this behalf, the

owner agent or manager of every mine shall make arrange-

m^ms—

(a) (I) for the initial medical

examination of every

person employed in the mine, within a period of

flv« year* of the date so notified and the said exami-

nation shall be so arranged over a period of five

years that one-flfth of the persons employed at the

mine undergc the examination every year :

Provided that in the case of a mine where a

system of carrying out of »uch medical examination

(of a comparable standard as determined by the

Chief Inspector) is already in existence before the

date aforesaid, a person who has undergone a medi-

cal examination under such a system on a date not

earlier than five years before the date

aforesaid,

shall be deemed to have undergone an initial medi-

cal examination under this sub-clause and the last

date of his medical examination under the said sys-

tem shah be taken to be the date of his initial

medical examination under these rules;

(ii) for the initial medical examination of every penon

seeking employment In a mine, unless such person

has already undergone within the proceeding

five

years, a medical examination

under these rules

while in employment at another mine; and

(b) for the periodical medical

examination

thereafter

of every person employed in the mine at intervals

of not more them five years.

29C. Examining authorities:

The medical

examination

aforesaid shall be carried out by a Medical Officer appointed

for the mine or a Medical Officer in the employment of the

owner of the mine, if any, or by uny medical officer employ-

ed in the Coal Mines Welfare Fund Organisation or any

other mines welfere organisation, fairing which by any State

or Central Government medical officer not below the rank

of an Assistant Civil Surgeon.

29D. Notice of medical examination : (1) In respeet of

every medical examination under rule 29B, the manager of

the mine concerned shall give at least twenty days, prior

notice in writing to the person to be examined, in Form M,

provided that in ease of the initial medical examination of

a person seeking employment at a mine, th© period of notice

may be shorter.

(2) A copy of every such notice Issued shall be sent by

the manager to the examining authority and in the case of

periodical medical examination of a person, the copies of

the previous medical certificate issued in Form O, pertaining

to the person concerned shall also be sent to the examining

authority by the manager.

843 GI/78—2

(3) A person, who for any reasonable cause, fails

submit himself for a medical examination in accordance with

the notice issued to him under sub-rule (1), shall be given

a second notice of a minimum period of ten days in Form

N, by the manager and a copy of every such notice shall

be sent by the manager to the examining authority.

(4) The examining authority shall Inform the manager

whether the person concerned has submitted himself for

medical examination or not.

29E. Failure to undergo medical examination.—A person

who, without reasonable cause, fails to submit himself for

medical examination in accordance with a notice issued to

him under sub-rule (3) of rule 29D, shall be liable to bo

discharged from service :

.Provided that a person who renders himself so liable to be

discharged for failure to submit himseK for medical examina-

tion shall be required to show cause why he could not comply

with the notice within the time specified therein. If his ex-

planation is found satisfactory by the management, he shall

be given another chance to appear for medical examination.

In case his explanation is not found

satisfactory by the

management, his service shall be terminated by the manage-

ment :

Provided further that in case of any dispute, the same shall

be referred to the Chief Inspector for his decision within 60

d»y» of the order communicated by the owner, agent or

mana|«r of the mine to the »aid person.

29F. Standard and report of medical

examination.—(1)

The examining authority holding

initial medical

exami-

nation under sub- clause (!) of

clouse (a), or

periodical

medical examination under clause (b) of

rule 29B shall

examine a person according to the standard laid down in

Form P and the initial medical examination

under sub-

clause (ii) of clause (a) of rule 29B of all persons setking

employment in a mine shall be according to the

standard

laid down in Form P.I.

(2) As soon as may be, after examination, a copy of the

medicar certificate in Form O, shall be Isued by the examin-

ing authority to the person concerned by registered post or

delivered under receipt and another copy sent to the manager

of the mine concerned by registered post, or delivered under

receipt.

(3) The examining authority shall retain the third copy

of the medical certificate.

(4) In the case of periodical medical examination of a per-

son, the examining authority shall also send the copy of the

previous medical certificates of the person concerned received

in pursuance of sub-rule (1) of rule 29D, to the manager of

the mine concerned.

29G. Retention and transfer of medical certificates.—(1) All

medical certificates of persons employed or to be employed

in a mine shall be retained hi the possession of the manager

of the mine so long as the person is employed in the mint

and for a period of five years thereafter:

Provided that the manager of a mine where such person

is or wa9 employed shall, if so requested by the manager

of any other mine where the person is to be employed, send

to him all medical certificates with respect to such person.

(2) If the examining authority who conducts medical exami-

nation of persons employed or to be employed in any mine,

is relieved of his duties regarding medical examination, the

medical practitioner shall transfer all records on medical exa-

mination in his possession to the manager of the mine con-

cerned.

29H. Identity of candidates.—(1) Every candidate for medi-

cal examination under clause (a) of rule 29B shall, at the

time of examination hand-over three unnunted photographs

(passport size) of himself to the examining authority. The

examining authority, after satisfying itself that each photo-

graph is a likeness of the candidate, shall endorse each of

them with the name and father's name or husband's name

of the candidate.

1100

THE GAZETTE OF INDIA : EXTRAORDINERY

[PART H—SEC. 3(i)l

(2) The examining authority, shall also record the left hand

thumb impression or the signature of every candidate appearing

before it for medical examination on the copies of the medi-

cal certificate in Form O.

291. Medical examination of women.—No women shall,

without her consent, be medically examined by a male medi-

cal practioner except in the presence of another woman.

29J. Appeal for re-examination.—(1) Where as a result of

an initial medical examination under clause (a), or of a perio-

dical medical examination under clause (b) of rule 29B, a

person has been declared unfit for employment in mines or in

a particular category of mine or in any specified operations

In mine, he may, within thirty days of the receipt by him of

a copy of the Certificate referred to in sub-rule (2) of rule

29F, file an appeal with the manager of the mine against the

declaration aforesaid, and request for a medical re-examination

by an Appellate Medical Board constituted under rule 29K.

(2Xa) The manager shall arrange to have the appellant

medically re-examined by the Appellate Medical Board within

thirty days of the receipt of the appeal, and shall give to the

Appellant fifteen days' prior notice of the medical re-exami-

nation by the Appellate Medical Board in Form Q.

(b) A person who, for any reasonable cause, fails to sub-

mit himself for a medical re-examination in accordance with

the notice given to him under clause (a), shall be given an-

other notice in Form R hi similar manner.

submit himself for a medical re-examination in accordance

with a notice given to him under clause (b), shall cease to be

in employment at the mine or in a particular category of mines

or in any specified operations in mine, as the case may be,

after the expiry of thirty day9 from the last date notified for

his medical re-examination.

(3) In respect of every medical re-examination by the Ap-

pellate Medical Board, the appellant shall pay such fees and

the medical examination shall be conducted in such manner

aa may be determined by the Appellate Medical Board. In

case the Appellate Medical Board finds him fit for employ-

ment in mines, the fees shall be re-imbursed in full to the

appellant by the owner of the mine where he is employed.

29K. Constitution of Appellate Medical Board.—For the

purpose of medical re-examination on appeal the Appellate

Medical Board shall consist of the following officers namely :—

(a) One duly qualified Medical Officer hi the employ-

ment of the Directorate General

of Mines Safety

who shall also act as the Convenor of the Board.

(b) One Medical Officer duly qualified in allopathic sys-

tem of medicine to be nominated by the Chief Ins-

pector in consultation with the Welfare Organisations

set up by the Central Government for the persons

employed in the mine.

tem of medicine employed in the State or Centra]

Government or a Government Undertaking and not

below the rank of Assistant Civil Surgeon :

Provided that if a Medical Officer under clause (b) or

clause (c) is not available, (he Appellate Medical Board shall

be constituted with two persons only.

29L. Standard and report of medical re-examiriation by the

Appellate Medical Board.—The Appellate Medical Board shall

medically examine the appellant in accordance with the stand-

ard laid down in Form P for initial medical examination of

workers already in employment as well as periodical medical

examination and in accordance with the standard laid down

hi Form PI for initial medical examination of the persons to

be employed and shall issue to the manager of the mine

concerned and to the appellant a medical certificate in Form S.

29M. Unfit persons not to be employed.—(1) Where, as a

result of an initial medical examination made under clause (a),

or of a periodical medical examination under clause (b) of

rule 29B a person has been declared unfit for employment in

mines or in a particular category of mines or in any specified

operations in mines, he shall not be employed or continue to

bo employed in rtines or in the category of mine or on the

operations specified after the expiry of thirty days from the

date of his medical examination unless he has filed an appeal

under sub-rule (1) of rule 29J against the declaration,

(2) Where the person concerned has filed an appeal under

sub-rule (1) of rule 29J. but has been declared by the Appel-

late Medical Board, after a medical re-examination, to be unfit

for employment in mines or in a particular category of mines

or on any specified operations in mines, he shall not be em-

ployed or continue to be employed hi mine or in the category

of mines or on the operations specified, after the expiry of

thirty days from the date of his medical re-examination by the

Appellate Medical Board:

Provided that, if the Medical Officer carrying out the initial

medical examination under clause (a), or the periodical exami-

nation under clause (b) of rule 29B, or the Appellate Medical

Board carrying out the medical re-examination of persons al-

ready in employment is of the opinion that the disability of

the person examined is of such a nature and degree that it

will not seriously affect or interfere with the normal discharge

of his duties, it may recommend his continuation in employ-

ment in the mine for a period not exceeding six months dur-

ing which such person may get his disability cured or control-

led and submit himself for another medical examination and

be declared fit.

29N. Compensation for industrial disease.—If, as a result

of any medical examination under these rules or under the

regulations, a person is found to have contracted any disease

specified in Part C of Schedule III to the Workmen's Com-

pensation Act, 1923, the provision of section 3 of that Act

shall become applicable in respect of that person.

290. Cost of medical examination.—Subject to the provi-

sions of sub-rule (3) of rule 29J full cost of every medical

examination under these rules, shall be bome by the owner

of the mine concerned.

29P. Annual returns.—(1) On or before the 20th day of

February every year, the manager of every mine shall submit

to the Chief Inspector annual returns in respect of the preced-

ing calendar year in Form T.

(2) If a mine is abandoned or working thereof is discontinued

over a period exceeding sixty days or if a change occurs in

the ownership of a mine the returns required under sub-rule

(1) shall be submitted within thirty days of abandonment or

change of ownership or within ninety days of discontinuance,

as the case may be".

3. In the First Schedule to the said rules, after Form L, the

following Forms shall be inserted, namely:

1101

"FORM M

[(see rule 29D (1)]

Notice of initial/periodical medical examination under rule 29 B

No.

Date

Shri/Shrimati

— .

Nature of employ-

ment**-

—-——^serial number from Form B Regis-

ter** son/daughter/wife*

:—•

, is hereby notified

that he/she* should present bimself/hcrself*for an initial/ perio-

dical* medical examination, under rule 29B of the Mines Rules,

1955, before—-———-(give name of the examining authority)

—(give exact description of place) on*** ——

(give date) at

(give time).

Shri/Shrimati*

— — . — m a y

note that if he/she*

fails, without reasonable cause, to submit himself/herself* for

the medical examination aforesaid he/she shall not be eligible

for appointment/continuance in employment in the mine from

Shri/Shrimati*—————may

further note that he/

she'should bring with him/her* three unattested photographs

of himself/herself * and the previous medical certificates

Form O if any, Issued to him/her* under rule 29F.

Signature of manager

•

-mine.

•Delete whatever is not applicable.

••Necessary only in case of a person already employed

in the mine,

***In respect of the initial medical examination of a person

already employed in a mine and in respect of every perio-

dical medical examination, atleast twenty days prior

notice Is to he given. In respect of the initial medical

examination or a person seeking employment at a mine

the period of notice may be shorter.

Note : A copy of the notice shall be sent to the examining

authority concerned. In the case of periodical medical

examination the copy of medical certificate in Form O

shall also be sent.

FORM N

[(see rule 39D (3)]

Second and final notice of initial/periodical* medical exa-

mination under rule 29B.

No.

Date

Shri/Shrimati*

—•—~, Nature of employment-

. . —

—serial number from Form B Register——,

son/daughter/wifc of——

—-failed to present himself/

herself* for an initial /periodical* medical examination on—

_»

——in respect of which he/she* had been given a notice

on——

—

He/she* is hereby again notified that he/she* should present

himself/herself* for an initial/periodical* medical examination,

under rule 29B of the Mines Rules, 1955, before-

— -

(give name of the examining authority) at—

—

-(give

date) at

—(give time).

Shri/Shrimati*-—

—, may note that if he/she*

fails to submit himself/herself* for the medical examination

aforesaid' he/she* shall not be employed/retained in employ-

ment in the mine from-

Shri/Shrimati*

—, may further note that he/

she* should bring with him/her* three unmounted photographs

of himself/herself* and the previous medical certificate in

Form O if any, issued to him/her* under rule 29F,

Signature of Manager.

—mine.

*Delcte whatever is not applicable.

**In respect of the initial medical examination of a person

already employed in a mine and in respect of every perio-

dical medical examination, the second notice is to be given

at leastten days previously.

FORM O

[(sec rule 29 F (2), and 29L)]

Report of medical examination under rule 29B

(To be issued in triplicate)**

Certificate No.

Certified that Shri/Shrimati* employed as

mine, Form D, No. has been examined for an initial/

periodical* medical examination. He/She* appears to be

———years of age. The findings of the examining authority

arc given in the attached sheet. It is considered that Shri/

Shrlmati*

(a)* is medically fit for any employment In mines.

(b)* is suffering from—

—and is medically unfit for

(1) any employment in mine ; or

(ii) any employment below ground ; or

(iii) any employment or work-

—

(c)* is suffering from-—————, and should get this

disability* cured/controlled and should be again examined

within a period of ——

months.

*He/She will appear

for ic-examination with the result of test of-

—

•

*and the opinion of-

•—•—-—-sepeciallst from-

He/She* may be permitted/not* permitted to carry on his duties

during this period.

—

•

—[

Space for affixing

Passport size

Photograph of the

candidate.

Signature of the examining

authority.

Place

Name and Designation In

Block letters

Date

•Delete whatever not applicable.

•*One copy of the certificate shall be handed over to the per-

son concerned and another copy shall be sent to the mana-

ger of the mine concerned by registered post ; and the third

copy shall be retained by the examining authority.

1102

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART II—SEC. 3(i)]

FORM O (Contd.)

Report of the examining authority.

(to be filled in for every medical examination whether ini-

tial or periodical or re-examination or after cure/ control of

disability).

Annexure to certificate No

as a result of medical

examination on

Identification Mark

Left thumb impression of

the candidate.

1. General development.

Good/Fair/Poor

2. Height

Cms.

3. Weight

Kg.

4. Eyes :

(i) Visual acuity—Distant vision (with or without glasses)

Right eye

Left eye

(ii) any organic disease of eyes,

•(iii) night blindness,

•(iv) Colour blindness

*(v) Squint

(• to be tested in special cases)

5. Ears :

(i) Hiaring Right ear

Leftear

(li) any organic disease

6. Respiratory system.

Chest measurement

(i) after full inspiration

cms.

(H) after full expiration

cms.

7. Circulatory system :

Blood Pressure

Pulse

8. Abdomen :

Tenderness

Liver

Spleen

Tumour

9. Nervous system :

History of fits or epilepsy

Paralysis

Mental health.

10. Locomotor system.

11. Skin

12. Hernia

13. Hydrocele :

14. Any other abnormality

15. Urine

Reaction

Albumin

Sugar

1& Skiagram of chest :

17. Any other c test considered necessary by the examining

authority :

18. Any opinion of specialist considered necessary ;

Signature of the examining

authority.

Place :

FORM P

[See rule 29F (1) and 29L]

MEDICAL

STANDARD OF FITNESS FOR PERSONS

EMPLOYED.

1. The peison should be in good mental and bodily health

and free from any physical defect likely to interfere with his

efficient employment in a mine.

2. Skeletal nervous system : The limbs should be well

formed and developed and the function of all the limbs should

be within normal limits. Any deformity should be recorded.

There should be no deformity or paralysis which may interfere

with his efficient employments in a mine.

3. Skin: There should be no evidence of extensive and

chronic skin disease or ulceration. In case of infective type of

skin disease, the candidate could be made fit after he has under-

gone a treatment. All occupational skin diseases should be

noted.

4. Eye vision should be not less than the following standard.

(1) Bettor eye

6/12

' (2) Worse eye

6/18

(b) There should bo no night blindness for persons employ-

ed below ground and for persons employed in open

cast workings in shifts other than in morning shifts.

should not be employed below ground. For employ-

ment on surface, the vision of such a person in the other

eye should be 6/18 with or without glasses.

5. Hearing should be good. Any progressive disease affec-

ting hearing/or^occupational deafness should be recorded.

6. Speech must be without serious impediments.

Unless

this is also^accompanicd by generalised or partial paralysis

this should not bo a reason for declaring unfit.

7(a) Respiratory system should bo sound and free from any

chronic bronchial or laryngeal disease. This however alone

should not be a reason to make unfit,

(b) An X-ray examination should be made and if there

are evidences of active pulmonary tuberculosis he may be per-

mitted to work if his sputum is nagative on repeated examina-

tion and on production of a certificate that he is taking treat-

ment from a qualified medical practitioner/Hospital.

8. Circulatory system: There should be no evidence of any

heart or vascular disease which may interfere with his efficient

employment in a mine.

9. In case the candidate has hernia he may be declared fit

after ho has been successfully operated for tho same.

1103

10. Hydrocele if present should not be large enough to

impede the normal activities of the candidate. In such cases

he may be declared fit after being successfully operated.

11. The medical examination should include examination

of urine and of other system for evidence of disease. Mere

presence of albumen and sugar in the urine without any gross

organic disease producing signs and symptoms should not be

considered as a disability.

FORM-P-1

[See rule 29 F(l) and 29L]

MEDICAL STANDARD OF FITNESS FOR PERSONS TO

BE EMPLOYED IN MINES.

1. The person suould be in good mental and bodily health

and free from any physicar defect likely to interfere with his

efficient employment in a mine. Due allowance in the standard

should be made for the age of a candidate.

Locomotor system. The limbs should be well formed

and developed and the function of all the limbs shoutd be

within normal limits. Any deformity should be recorded.

There shoufd be no deformity or paralysis which may inter-

fere with his efficient employment in a mine. Any deformity

noted should be recorded.

3. Skin ; There should be no evidence of extensive and

chronic skin disease or ulceratipn,

4. (a) Distant vision of eye with or without glasses should

be not less than the following standard :—

Better eye

Worse eye

For workers employed

on surface and in

opencast workings.

6/12

6/18

For workers

employed

below ground.

6/6

6/9

(b) Night blindness should be tested in special cases only

in underground workers, where the examining authority consi-

ders It necessary.

mally should not be employed below

ground.

For em-

ployment on surface, the vision of such a person in the

other eye should be 6/12 with or without glasses. A person

will be considered uniocular when there is physical loss of

one eye or when there is functional loss of vision of one eye.

(d) Cofour blindness will be tested only in special case*

where the job requires good colour discrimination. Only, low

grade colour perceptions will be tested with Edridge Green's

lantern.

(e) There should not be aquint where binocular vision ii

essential.

(f) There should not be any organic disease dit the eyes

which Is likely to affect the distant vision within a period

of five years.

5. Hearing should be good. Any progressive disease affect-

ing hearing should be recorded. The candidate should

able to hear conversational voice from a distance of 3 metres.

6. Speech must be without serious impediments.

7. (a) Respiratory system should be sound and free from

any chronic laryngeal bronchical pulmonary disease. Tuber-

culosis of lungs if not active should not be a disqualification.

(b) An X-ray examination should be made and there should

not be any evidence of active pulmonary disease.

8. Circulatory system : there should be no evidence or

cardiac or vascular disease which may interfere with his

efficient employment in a mine.

9. There should not be any evidence of disease of abdomi*

nal organs which i$ likely to affect his efficient discharge of

duty in a mine.

10. In case the candidate has hernia he may be declared

fit after he hasi been successfully operated for the same.

U. Hydrocele if present should not be large enough to

impede the normal activities of the person. If it is Targe

enough he may be declared fit after being successfully opera-

ted.

12. The nervous system should be sound. Persons with his-

tory of epilepsy or any other type of organic or hysterical

fits should not be declared fit for employment in a mine.

13. The medical examination shoufd include examination

of urine. Mere presence of albumen and sugar in the urine

without any gross organic disease producing signs and symp-

toms- should not be a disability.

14. Skiagram of the chest should also be obtained. If it

is necessary the medical officer may direct the

candidate

to obtain the result of special tests or/and the opinion of a

specialist from recognised institution/hospital.

FORM—Q

[See rule 29J(2){a)]

Notice of medical re-examination by Appellate Medical Board

No.

Date

MEMORANDUM

Shri/Shrlmati*

, Nature of em-

ployment

, serial number from

Fjorm B Register son/daughter/wife* of

who has appealed for a re-examination against the findings

of a medical examination under rule 29-B of Mines Rules,

1955 that he/she is unfit for :

(a) *Any employment in mines ;

(b) *Any employment below ground ;

(Specify in detain is hereby

notified that he/she* should present himself/herself*

for

a medical re-examination by the Appellate Medical Board

(give exact description

place) on ••

(give date) at

(give

time).

Shri/Shrimatl*.—

may

note

that if he/she* fails without reasonable cause, to submit

himserf/hersdf* for the medical re-examination

aforesaid,

he/she* shall not be retained in employment in the mine.

SIGNATURE OF MANAGER

.—Mine,

* Delete whatever is not applicable.

** 15 days' prior notice is to be given to a medical r*-

examination by the Appellate Medical Board.

FORM-R

[See rule 29J(2)(b)]

Second and final notice

medical re-examination by

Appellate Medical Board.

No.

Dated

MEMORANDUM

Shri/Shrirnati*

, Nature of employment

-, serial number

from

Form B Register

=-^-

sort/daughterf/wife*

^ - ,

failed

prewnt

hinfcalf/

herself* for medical re-erammatfcm OIH

in reapact of

which he/she* had be«n given a notic« on-

1104

THE GAZETTE OF INDIA : EXTRAODINARY

[PART II—SEC. 3(1)]

He/She* is hereby again

notified

that he/she* should

present himself/herself* for a medical re-examination by the

Appellate Medical Board at

(give exact description of

place) on**

(give date) at

•

(give time).

Shri/Shrimati*

may note that if he/she* fails to

submit himsclfi/herself* for the medical re-exaimnation afore-

said, he/she* shall not be retained in employment in the

mine.

SIGNATURE OF MANAGER

mine.

* Delete whatever is not applicable.

•* 15 days' prior notice is to be given of a medical re-

examination by the Appellate Medical Board.

FORM-S

[See rule 29 L]

REPORT OF MEDICAL

RE-EXAMINATION

BY APP-

ELLATE

MEDICAL

BORAD.

**(to be issued in triplicate)

We do hereby certify that we have examined Shri/Shrimati*

•

, Nature

employment

, Serial

number from Form B

mine,

who has been declared medically unfit for :

(a) • Any employment in mine;

(b) • any employment below ground;

(Specify in detail)

as a result of a medical examination under rule 29-B. Our

Report is given overleaf.

We consider that—

1. He/She* is medically fit for any employment in mines.

2. He/She* is suffering from... .and is medically unfit for :

(a) • any employment in mine, or

(b) * any employment below ground, or

(Specify in detail)

3. He/She is suffering from..,.and should get this disa-

bility cured/controlled* and should be again examined within

a period of... .months. He will appear foi re-examination

within a period of...,months. He will appear for re-exa-

mination with the result of test of

* and the opinion

of... .specialist from

He may be permitted/not permitted*

to carry on his duties during this period.

(Signature

members

Appellate

Medical

Board)

Place:

^Convenor)

Date:

•Delete whatever is not applicable.

"One copy of the certificate shall be handed over to the person

concerned and another copy shall be sent to the manager of the

mines concerned by registered post, and the third copy shall bo

retained by tho Convenor of the Appellate Medical Board.

REPORT OF THE APPELLATE

MEDICAL BOARD

Annexure to certificate No. as a result of Medical exarhinatfon

on..,

—. ^.

Identification mark :

Left thumb impicssion of the

candidate

1. General development;

Good/Fair/Poor

2. Height

cms

3. Weight

Kg.

4. Eyes.

(i) Visual acuity

Distant vision (with or without

(ii) any organic disease of

glasses)

eyes.

*(iii) night blindness

Right eye

Left e y e —

*(iv) colour blindness

(v) Squint

*(to be tested in special cases)

5. Ears:

(i) Hearing

Right ear

Left ear

(ii) any organic disease

6. Respiratory system:

Chest measurement

(i) after full inspiration

cms

(ii) after full expiration

cms

7. Circulatory system:

Blood pressure

Pulse,

8. Abdomen:

Tenderness

Liver

Splean

Turnout

9. Nervous system:

History of fits or epilepsy

Paralysis

Mental health

10. Locomotor system

11. Skin

12. Hernia

13. Hydrocele

14. Any other abnormality

Urine:

Reaction

Albumin

Sugar

15. Skiagram of chest

16. Any other test considered necessary by tho

examining

authority.

17. Any opinion of specialist considered necessary,

pj a c c;

Signature of the Appellate

Medical

Board.