Name – T W

Personal Id Number (PIN):

Information

Name:

Date of Birth:

Health Number:

Gender:

Language Spoken:T W

05/03/2020

123456

Male

English

Height / Weight / BMI

Cardiac Data

Height (inches):

Weight (lbs):

Body Mass Index (BMI)

70

186

1.88Resting Heart Rate:

Systolic Pressure (mmHg):

Diastolic Pressure (mmHg):55

125

95

Cholesterol

Blood Glucose

Total Cholesterol (mg/dL):

HDL Cholesterol (mg/dL):

LDL Cholesterol (mg/dL):

161

35

126Blood Glucose (mg/dL):10

Hemotology

Haemoglobin (gr/dL):

Hematocrit (%):

White Cell Count (per mm3):

Platelets Count (per mm3):

Red Blood Cell Count (per mm3):

Bodycomposition

Triceps (mm):

Subscapular (mm):

Chest/Pectoral (mm):

Suprailiac (mm):

Abdominal (mm):11

24

10

18

23Waist (cm):

Hips (cm):

Thigh (cm):

Calf (cm):