2, civil service recruitment physical examination form

2008 1 month 17

Attachment 1:

General standards for civil servants' physical examination (for Trial Implementation)

Article 1 Organic heart diseases such as rheumatic heart disease, cardiomyopathy, coronary heart disease, congenital heart disease and Keshan disease are unqualified. People with congenital heart disease who don't need surgery or surgical cure are qualified.

In case of any of the following circumstances, the reasonable change of heart disease is ruled out and qualified:

(a) the heart auscultation physiological murmur;

(2) Contraction is less than 6 times per minute (strictly controlled for those with a history of myocarditis);

(3) The heart rate is 50-60 beats per minute or 100- 1 100;

(4) Other conditions of abnormal electrocardiogram.

Article 2 The blood pressure is qualified within the following range:

Systolic blood pressure is 90 mmhg-140mmhg (12.00-18.66kpa);

Diastolic pressure is 60-90 mmhg (8.00- 12.00 kPa).

Article 3 Blood disease, unqualified. Simple iron deficiency anemia, male hemoglobin is higher than 90g/L and female hemoglobin is higher than 80g/L, which is qualified.

Article 4 Tuberculosis is unqualified. But the following conditions are qualified:

(1) Primary pulmonary tuberculosis, secondary pulmonary tuberculosis and tuberculous pleurisy, and the stable period after clinical cure is 65438 0 years;

(2) Extrapulmonary tuberculosis: renal tuberculosis, bone tuberculosis, peritoneal tuberculosis, lymph node tuberculosis, etc. There was no recurrence in 2 years after clinical cure, and there was no change after examination in a specialized hospital.

Article 5 Chronic bronchitis with obstructive emphysema, bronchiectasis and bronchial asthma is unqualified.

Sixth serious chronic gastrointestinal diseases, unqualified. Gastric ulcer or duodenal ulcer has healed, and there is no bleeding history within 1 year, and those who are asymptomatic above 1 year are qualified; Those without serious complications after subtotal gastrectomy are qualified.

Class VII acute and chronic hepatitis, unqualified. After examination, hepatitis was excluded, and the carrier of hepatitis B pathogen was qualified.

Article 8 All kinds of malignant tumors and liver cirrhosis are unqualified.

Article 9 Acute and chronic nephritis, chronic pyelonephritis, polycystic kidney disease and renal insufficiency are unqualified.

Tenth diabetes, diabetes insipidus, acromegaly and other endocrine system diseases, unqualified. Those who have no symptoms and signs 1 year after hyperthyroidism is cured are qualified.

Article 11 Those who have a history of epilepsy, psychosis, hysteria, sleepwalking at night and severe neurosis (frequent headache, dizziness, insomnia, obvious memory loss, etc.). ), but the abuse and dependence of psychoactive substances are unqualified.

Twelfth lupus erythematosus, dermatomyositis and/or polymyositis, scleroderma, polyarteritis nodosa, rheumatoid arthritis and other diffuse connective tissue diseases, Takayasu arteritis, unqualified.

Thirteenth advanced schistosomiasis, advanced filariasis with rubber swelling or chyluria, unqualified.

Fourteenth skull defect, intracranial foreign body retention, brain malformation, post-traumatic syndrome, unqualified.

Fifteenth severe chronic osteomyelitis, unqualified.

Sixteen degree simple goiter, unqualified.

Seventeenth gallstones or urinary stones with obstruction are unqualified.

Eighteenth gonorrhea, syphilis, chancre, sexually transmitted lymphogranuloma, condyloma acuminatum, genital herpes, AIDS, unqualified.

Nineteenth binocular corrected vision is less than 0.8 (standard logarithmic vision is 4.9) or eye diseases with obvious visual impairment are unqualified.

Article 20 Both ears have hearing impairment, and those who can't hear in a whisper within 3 meters when wearing a hearing aid are not qualified.

Twenty-first other serious diseases that are not included in the medical examination standards and affect the normal performance of duties are unqualified.

Physical examination number 0000 1

Civil servant recruitment

Physical examination table

Personnel Department of People's Republic of China (PRC)

Ministry of Health

Physical examination instructions

In order to accurately reflect the real physical condition of candidates, please pay attention to the following matters:

1. All must go to the designated hospital for physical examination, and the examination results of other medical units are invalid.

2. It is forbidden to resort to deceit and impersonation; If concealing the medical history affects the medical examination results, the consequences will be at your own risk.

3. Stick a recent two-inch bareheaded photo on the physical examination form, and affix the official seal.

4. The second page of this form should be filled in by the client himself (with a black signature pen or a signature pen), with clear handwriting and no alteration. The medical history should be truthfully filled in item by item without omission.

Please pay attention to rest the day before physical examination, don't stay up late, don't drink alcohol and avoid strenuous exercise.

6. Blood collection, B-ultrasound and other examinations are required on the day of physical examination. Please fast for 8- 12 hours before the exam.

7. Please don't do gynecological and urine tests for female subjects during menstrual period, and then make up the tests after menstrual period; If you are pregnant or may be pregnant, inform the medical staff in advance and don't have an X-ray examination.

8. Please cooperate with the doctor to check all the items carefully, and don't miss the inspection. If you give up an inspection item automatically, it will affect employment.

9. Physical examiners can add necessary corresponding examinations and inspection items according to actual needs.

10. If you have any questions about the physical examination results, please handle them according to relevant regulations.

Last name, gender, date of birth, photo

piece

Marital status of ethnic minorities

Educational contact telephone number

Professional work unit

(graduate school)

Enter oneself for an examination position ID number

Please fill in the following items truthfully and in detail.

Answer "Yes" or "No" and tick "√" in the blank after each item. If you deliberately hide it, you will bear the consequences. )

Does the name of the disease have a cure time?

Hypertensive diabetes

Hyperthyroidism of coronary heart disease

Anemia caused by rheumatic heart disease

Congenital epilepsy

Cardiomyopathy psychosis

Bronchiectasis neurosis

History of drug abuse in bronchial asthma

Emphysema, acute and chronic hepatitis

Peptic ulcer tuberculosis

Cirrhotic sexually transmitted diseases

Malignant tumor of pancreatic disease

Surgical history of acute and chronic nephritis

History of severe trauma caused by renal insufficiency

Connective tissue diseases others

note:

Customer's signature:

Physical examination date: year month day

Height cm weight kg blood pressure/mmhg

inside

Medical history: What diseases have you suffered (onset time and current symptoms).

Cardiac boundary

Heart rate sub-law of murmur

Lung and abdomen

Hepatic nervous system

Irritate others

Suggest the doctor to sign it.

Outside

Medical history: what kind of surgery have you had or whether you have a history of trauma (name and time), and what is your current function.

Thyroid mammary gland

surface

Lymph node skin

spine

Skull of joint of limbs

anus

External genitalia others

Suggest the doctor to sign it.

eye

naked eye

Right eye vision correction

Signature of a doctor with normal vision

Left, left.

Color feeling

other

Suggest the doctor to sign it.

heart

electric current

draw

Suggestion: doctor's signature:

chest

department

X

light

piece

Suggestion: doctor's signature:

abdomen

department

B

exceed

check

cheque

Suggestion: doctor's signature:

body

check

knot

discuss

and

build

discuss

Medical examination hospital signature office

Signature of Chief Examiner: MM DD YY

inspection item

blood

often

Total white blood cell count (WBC) and classified hemoglobin (HGB)

Total red blood cell count (RBC) and platelet count (PLT)

blood

grow

Alanine aminotransferase (ALT) and urea nitrogen (BUN)

Aspartate aminotransferase creatinine

glucose

avoid

HIV antibody (anti-HIV) syphilis serum specific antibody (TPHA)

urine

often

Glycoregulatory protein

Bilirubin (TBIL) and URO (uro)

Specific gravity (SG) red blood cells (BLO)

PH white blood cells (LEU)

Microscopic observation

other