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Medical Officers

Name of Factory* Address* Strength of Workers* Name of Hazardous Process* Name of Factory Medical Officer* Qualification* Experience* Mode of Periodic Medical Examination* Date of Appointment* <-- Select Date --> 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 <-- Select Month --> 1 2 3 4 5 6 7 8 9 10 11 12 <-- Select Year --> 2005 2006 2007 2008 2009 2010 Date of Joining* <-- Select Date --> 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 <-- Select Month --> 1 2 3 4 5 6 7 8 9 10 11 12 <-- Select Year --> 2005 2006 2007 2008 2009 2010 Email ID*