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Angajare _____ / Control medical periodic _____ / Adaptare _____ / Reluare a muncii _____/
special ____ / Altele _____.
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NUME_____________________
PRENUME __________________________________CNP _________________________________________________________________
Profesie/funcie ____________________ Locul de munc ______________________
AVIZ MEDICAL:
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Data ________________
Supraveghere
NUME_____________________
PRENUME __________________________________CNP _________________________________________________________________
Profesie/funcie ____________________ Locul de munc ______________________
AVIZ MEDICAL:
APT
APT CONDIIONAT
INAPT TEMPORAR
INAPT
Data ________________