Fit To Flight Certificate Melvin.docx

FLIGHT CERTIFICATE This certify that : Name

: Melvin Domingo

Date of Birth

: 29/07/1978

Address

: 2201-A EMIRATES BLDG 4 DUBAI SILICON OASIS, DUBAI U.A.E

Nationality

: Filipino

The above mentioned name has already got a medical examination such as : Vital sign

: BP: 100/60mmHg, HR 80x/mt, RR: 20x/mt, Tax: 36 degree celcius

Eye & ENT

: not anemic, not icteric, pupile reflex +/+ issocore, ENT are normal

Thorax examination

: Vesicular sound (+/+) ; Ronchi (-/-), Wheezing (-/-) ; Cor S1/S2 singular, Murmur/Gallop (-/-)

Abdomen examination

: Bowel sound (+) normal, tenderness (-), h/l not palpable, cva(-)

History of past Ilness

:-

History of Allergy

:-

I, the undersigned dr. I Gede Koko Gustrawan, General Practitioner, see that the above mentioned, on examination, is fit to fly on September 1st 2018.

Canggu, 30/08/2018

dr. I Gede Koko Gustrawan General Practitioner