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CU/ADM/FORM /4 CHUKA Telephone 020 2310512 020 2329073 Email info chuka.ac.ke raca chuka.ac.ke Fax line 020 2310302 UNIVERSITY STUDENTS MEDICAL BIODATA FORM Registration No.. Fits nervous disease or fainting attacks YES / NO c. Allergies to food or drugs YES / NO d. Diabetes Mellitus YES / NO e. Pulse Blood Pressure. Systolic. Heart. d CHEST Exam X- ray -Compulsory. If any problem give details e Any other observation of importance Name of Examining...

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