dk;Z fUk"iknu ewY;kadu izfrosnu

fcgkj iqfyl lsok ¼ch0ih0,l0½

ds inkf/kdkfj;ksa ds fy,

o"kZ 2017-18 dh vof/k rFkk mlds i'pkr ds o"kksZ ds dk;ksZ ds ewY;kadu ij vk/kkfjr okf"kZd

vH;qfDr ds fy, ykxw

fcgkj ljdkj

1

2

dk;Z fUk"iknu ewY;kadu izfrosnufcgkj iqfyl lsok ds inkf/kdkfj;ksa

ds fy,

3

Iknkf/kdkjh dk uke %izfrosnu dk o"kZ :

fcgkj iqfyl lsok ¼ch0ih0,l0½ dk;Z fu"iknu ewY;kadu izfrosnu ¼ih0,0vkj0½dk;Z fu"iknu ewY;kadu izfrosnu dk vof/k --------------------- ls ------------------------ rd[k.M& I & ewy lwpuk

¼ iqfyl egkfuns'kd dk;kZy; ds ih0,0vkj0 'kk[kk }kjk Hkjk tk,xk½1. Ikzfrosfnr inkf/kdkjh dk uke :

2. ojh;rk lwph dk Øekad@izdk'ku o"kZ :

3. tUe frfFk ¼frfFk@ekg@o"kZ½ :

4. ÅWapkbZ :

5. otu :

6. orZeku dksfV %7. orZeku in %8.orZeku in ij fu;qfDr dh frfFk %9.izfrosnd] leh{kh ,oa Lohdkjd izkf/kdkj %

uke ,oa inuke dk;Z vof/kizfrosnd izkf/kdkjleh{kh izkf/kdkjLohdkjd izkf/kdkj

10. NqV~Vh vkfn ij jgus ds dkj.k vuqifLFkr vof/k.

vof/k izdkj vfHk;qfDr

4

NqV~Vh ¼izdkj fy[ksa½vU; ¼fooj.k nsa½

11. izf'k{k.k dk;ZØe esa mifLFkfrfnukad ls fnukad rd laLFkku fo"k;

12. ind@vyadj.k :

13. fnlEcj esa lekIr gksus okys o"kZ ds fy, okf"kZd lEifr fooj.kh nkf[ky djus dh frfFk %

14. fofgr fpfdRldh; tkap dh foxr frfFk % ¼40 o"kksZa ls vf/kd vk;q ds inkf/kdkfj;ksa ds fy,½ ¼izfrosnu dk lkj layXu djsa½

5

fnukad gLrk{kj okLrs iz'kklu@egkfuns'kd¼iqfyl ½ dk;kZy;

6

[k.M II Lo&ewY;kadu

¼Ikzfrosfnr inkf/kdkjh }kjk Hkjk tk,xk½1- drZO;ksa dh laf{kIr fooj.kh ¼ /kkfjr in dk mn~ns'; ,oa dk;Z

ftls iwjk djuk vko';d gS dk fooj.k ¼100 'kCnksa esa½

2- okf"kZd dk;Z ;kstuk ,oa miyfC/k;kWa :

dk;Z ftls iwjk djuk gks fu"iknu ;ksX; y{; okLrfod miyfC/k;kWa

izkjafHkd v/kZokf"kZd

Rofjr xfr ls dkaMksa dk fu"iknu djkukAfoHkkxh; dk;Zokgh ,oa foHkkxh; tk¡p dk fu"iknu djukAfof/k O;oLFkk la/kkj.k esa fd;k x;k mYys[kuh; dk;Z

3- izfrosnu dh vof/k ds nkSjku D;k vki le>rs gSa fd vkids }kjk dksbZ fof'f"V dk;Z fd;k x;k gS] tSls fd dksbZ vf}rh; pqukSrhiw.kZ dk;Z dk lQyrk iwoZd iwjk fd;k tkuk ;k dksbZ cM+h Øeokj izxfr ¼ftlls turk dks le; ij egRoiw.kZ ykHk izkIr gqvk gks ;k ftlls le; ,oa O;; dh cpr gq;h gks½ ;fn ,slk gS] rks d`i;k fooj.k nsa ¼tks 100 'kCnksa ls vf/kd u gks½

7

4. viuh miyfC/k esa vkbZ deh ds laca/k esa d`i;k laf{kIr esa crk,¡A viuh ck/kkvksa ,oa dfBukbZ;ksa ds laca/k esa fooj.k vafdr djsaA

5- ftl fof'kf"V {ks= esa vki eglwl djrs gSa fd vkidh {kerk@dkS'ky dks izf'k{k.k dk;ZØe dh vko';drk gS] d`i;k fpfUgr djsaA

6-

6- ?kks"k.kk %D;k vkius vius vpy lEifr dk ns; fjVuZ nkf[ky dj fn;k gSs\ ;fn gkWa] d`i;k frfFk vafdr djsa A

gkWa@uk

frfFk

D;k vki fofgr fpfdRldh; tkap djk pqds gSaA

gkWa@uk

D;k vkius orZeku o"kZ esa lHkh inkf/kdkfj;ksa ds fy, dk;Z ;kstuk r; dj yh gS] ftuds fy, vki izfrosnd izkf/kdkj gSa\

gkWa@uk

LFkku %

izfrosfnr inkf/kdkjh dk gLrk{kjfnukad %

8

9

[k.M III ewY;kadu

¼ izfrosnd inkf/kdkjh }kjk Hkjk tk,xk½1- d`i;k vafdr djsa fd D;k [k.M II esa Hkjk x;k dk;Z fooj.k ,oa fdlh

egRoiw.kZ ,oa lkgfld dk;Z fd;s tkus laca/kh mfYyf[kr miyfC/k ls

vki lger gSaA ;fn ugha rks rF;iw.kZ earO; nsaA

2- izfrosfnr inkf/kdkjh }kjk fof'k"V ;ksxnku ds fd, x, nkos ds lca/k esa d`i;k fVIi.kh nsa %

3- D;k izfrosfnr inkf/kdjh vius dk;ksZ esa dksbZ cM+h foQyrk dk lkeuk dj pqd gSa \ ;fn gkWa] rks rF;iw.kZ foLr`r tkudkjh nsaA

4- inkf/kdkjh }kjk fpfUgr {ks= esa dkS’ky mUu;u dh vko';drk ij D;k vki lger gSa\

10

5- dk;Z fu"iknu dk ewY;kadu ¼;g ewY;kadu inkf/kdkjh ds lerqY; inkf/kdkfj;ksa ds lkis{k fd;k tk, u fd lkekU; tuksa dks oxhZdj.k 1&10 ds Ldsy ij iw.kZ vad esa fn;k tk, ftlesa 1 fuEurj Js.kh ,oa 10 mRd`"V Js.kh gksxkA ½

Øekad

fooj.k izfrosfnr izkf/kdkj

leh{kh izkf/kdkj

leh{kh izkf/kdk

j dk gLrk{kj

1 i;Zos{k.k] vuqla/kku vkfn ds {ks= esa dk;Z mRikndrk dh xq.koÙkk ,oa izHkko'khyrk

2 fof/k O;oLFkk la/kkj.k esa fd;s x;s fof’k"V dk;Z dk C;kSjk

3 dksbZ vHkwriwoZ dk;Z lEiknu@fof'k"V dk;Z dh miyfC/k

4 dk;Z ,oa mÙkjnkf;Ro ds izfr :fp

5 v/khuLFk dfeZ;ksa dks mRlkfgr djuss ,oa c<+kok nsus dh ;ksX;rk@ny ds :i esa dk;Z djuk

6 Lkaokn lEizs"k.k dh dq'kyrk

7 usr`Ro {kerk8 fof/k@fu;e@izfØ;k@lwpuk

rduhd dkS'ky ,oa lacaf/kr {ks= ds LFkkuh; ekeyksa ds izfr tkudkjh@tkx:drk

9 fu.kZ; ysus dh {kerk10 igy djus dh {kerk

¼bfuf'k;sfVo½

6- fu"Bk

d`i;k inkf/kdkjh dh fu"Bk ij fVIi.kh nsa :

11

7- inkf/kdkjh ds laiw.kZ xq.k] muds 'kfDr'kkyh ,oa detksj i{k ds izfr muds n`f"Vdks.k ds laca/k esa izfrosnd inkf/kdkjh dk earO; ¼isu fiDpj½

8- lkSais tkus okys dk;Z {ks= ds laca/k esa vuq'kalk ¼d`Ik;k dksbZ pkj fpfUgr djsa½

Hkz"Vkpkj fujks/k ,oa fuxjkuh

iqfyl vuqla/kku ,oa fodkl

vijk/k vuqla/kku ¼lh0vkbZ0Mh0½

usVodZ@vkbZ0Vh0

lapkj O;oLFkk vklwpukjsyos mxzokn fojks/khvkfFkZd vijk/k Lkqj{kk

¼oh0vkbZ0ih0 ,oa vk?kkSfxd½

;krk;kr l'kL= iqfyl cyfof/k O;oLFkk egkuxj ,oa 'kgjh iqfyl

O;oLFkk

iqfyl izf'k{k.k vkradokn fojks/khdkfeZd iz'kklu lkbZoj vijk/klhek izcaa/ku vU;ou ,oa oU; izk.kh lacaf/kr vijk/k

9- lEiw.kZ oxhZdj.k ¼Ldsy 1 ls 10 ij½

12

fnukad % izfrosnd inkf/kdkjh dk gLrk{kj

uke % inuke %

13

[k.M& IV - leh{kk

1- [k.M rhu ds lanHkZ esa izfrosnd inkf/kdkjh }kjk fd;s x;s ewY;kadu ls D;k vki lger gSa\ izfrosnh inkf/kdkjh ds vlk/kkj.k miyfC/k ,oa@vFkok egRoiw.kZ foQyrk@deh ds laca/k esa izfrosnd inkf/kdkjh ds ewY;kadu ls D;k vki lger gSa \ ¼vxj vki dksbZ xf.krh; ewY;kadu ls lger ugha gSa rks viuk ewY;kadu fn;s x;ss dkWye esa vius gLrk{kj lfgr ntZ djsa½

gkWa

uk

2- er fHkUurk dh fLFkfr esa foLr`r dkj.k nsaA

3- izfrosnd inkf/kdkjh }kjk fy[ks x;s isu fiDpj ds laaca/k esa] ;fn dksbZ

earC; gks rks fy[ksaA

4- lkSais x;s dk;Z {ks= lacaf/kr vuq'kalk ¼d`Ik;k dksbZ pkj fpfUgr djsa½

Hkz"Vkpkj fujks/k ,oa fuxjkuh iqfyl vuqla/kku ,oa fodklvijk/k vuqla/kku ¼lh0vkbZ0Mh0½

usVodZ@vkbZ0Vh0

lapkj O;oLFkk vklwpukjsyos mxzokn fojks/khvkfFkZd vijk/k Lkqj{kk ¼oh0vkbZ0ih0 ,oa vk?

kkSfxd½

;krk;kr l'kL= iqfyl cy

fof/k O;oLFkk egkuxj ,oa 'kgjh iqfyl O;oLFkkiqfyl izf'k{k.k vkradokn fojks/khdkfeZd iz'kklu lkbZoj vijk/klhek izcaa/ku vU;ou ,oa oU; izk.kh lacaf/kr vijk/k

1- lEiw.kZ oxhZdj.k ¼Ldsy 1 ls 10 ij½

14

fnukad % leh{kh inkf/kdkjh dk gLrk{kj uke % inuke %

15

[k.M& v Lohdkjd

1- D;k vki izfrosnd@leh{kh izkf/kdkj dh fVIi.kh ls lger gSa \

gkWa

uk

2- er fHkUurk dh fLFkfr eas foLr`r dkj.k nsaA

dqy Jss.kh & ¼Ldsy 1 ls 10½

fnukad % Lohdkjd inkf/kdkjh dk gLrk{kj

uke % inuke %

16

ifjf'k"V & II

SECTION VI

PROFORMA FOR HEALTH CHECK UP

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18

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