View Medical Screening Evidence

Dummy Selected IPN TabDetailsHistory
Updated On[date-and-time]Updated By[User Name] [View History]
Effective Date of Change[Date] 
Approval Requested[True]Approval Status[Approved] [View History]

Medical Screening Details

Household Member[Full Name] 
Screen Diagnosis[field-value] 

Certification Details

Certification Start Date[Date]Certification End Date[Date]

Comments

[Comments]