Wafid / GAMCA Medical Test
See the tests usually included in a GAMCA / Wafid medical examination, with preparation guidance for your visit. Your assigned medical centre determines the applicable examination requirements.
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Medical tests
Understand the main examination areas and how to prepare for the authorized center.
At a glance
The Wafid / GAMCA medical examination usually combines a clinical examination, laboratory investigations and a chest X-ray, following the Gulf Health Council regulations for expatriates travelling to GCC states.
- Carry the original passport and the printed appointment slip.
- Expect a general clinical examination, including height and weight measurements.
- Expect laboratory tests such as blood group and haemoglobin, malaria and microfilaria screening, blood sugar, liver and kidney indicators, HIV, hepatitis B, hepatitis C and urine testing.
- Tell the center or radiology staff about pregnancy or any condition affecting imaging before the chest X-ray.
- Confirm fasting, photograph or additional document requirements directly with the assigned center.
VERIFIED PRACTICAL GUIDE
What the Wafid medical test is for
An approved centre assesses medical fitness for the applicable GCC work or residence process. The examination and official record determine the outcome; a private test or this guide cannot guarantee a Fit result.
Your visit: what to expect
Follow the instructions of the centre printed on your appointment slip.
- Check the centre address and reporting instructions. Carry your passport, printed slip and any additional documents the centre requests.
- At registration, check that your name, passport number and other identity details match the booking.
- Complete the requested blood tests, imaging and clinical checks. Ask the centre about preparation and the order of examinations.
- Keep the receipt and follow any repeat-test instructions. Check the submitted result through the official Wafid medical-status service.
SGPT / ALT: liver enzyme test
SGPT is another name for ALT, a blood marker used to assess the liver. There is no single 40–45 limit that applies to every laboratory: compare the result with the reference range and units on that report. A raised value needs clinical interpretation. Cold foods are not an established treatment; do not self-medicate or stop prescribed medicines to change a test result.
VDRL / TPHA: syphilis screening
VDRL and TPHA are different types of syphilis tests; they are not both ELISA tests. The laboratory may use an immunoassay as part of its testing algorithm. Reactive or conflicting findings can require additional testing and review of previous treatment. A number such as 0.85 is not a universal Wafid grey-zone rule, and a value below 0.5 does not by itself guarantee fitness.
HIV screening
HIV screening is a separate infection test. A screening index must be interpreted using that assay’s instructions and any required follow-up testing. Do not apply syphilis or hepatitis cut-offs to it or use an isolated number to predict the official fitness decision.
HCV: hepatitis C screening
An HCV antibody screen checks for exposure to hepatitis C. A reactive antibody result can reflect current infection, a past resolved infection or a false-positive result; HCV RNA testing is used clinically to establish current infection. Clinical diagnosis and the Wafid eligibility decision are separate matters.
HBsAg: hepatitis B screening
HBsAg tests for hepatitis B surface antigen. It is a different marker from HCV antibody and HIV screening. Follow the laboratory’s reported interpretation and the approved centre’s instructions rather than comparing numerical readings between different tests.
Chest X-ray: shadows, scars and repeat imaging
An unclear image may need review or repeat imaging. However, the published Wafid rules also list active or past pulmonary TB, fibrosis and calcification among chest findings associated with unfitness. A calcified spot, apical shadow or blunted costophrenic angle needs professional assessment; a repeat X-ray is not a promise of clearance. Tell radiology staff if you are pregnant or may be pregnant.
Eye examination and myopia
The published rules link visual acuity to the job, including specified 6/6 and 6/9 requirements with or without glasses. Myopia alone does not tell you the outcome. Bring your usual glasses and any relevant eye report; the examiner assesses vision and the applicable occupational requirement.
RBC count: red blood cells
An RBC count measures red blood cells and is commonly assessed alongside other blood-count results. A high or low count can require further investigation; it is not an automatic repeat or Fit/Unfit rule. Ask whether “RBC” on your report refers to the blood count or red cells in urine, because those are different tests.
Creatinine: kidney function
Creatinine is used to help assess kidney function. Interpret it with the laboratory range and other clinical information, not a single online threshold. Follow up an abnormal result with the examining clinician.
Physical and skin examination
The clinician examines general health and relevant skin findings. If you have a rash, allergy or an existing skin condition, bring previous reports and your dermatologist’s prescription to explain the history. A prescription does not replace the examination or guarantee clearance.
If a result is borderline, pending or repeated
Ask the centre which test needs review, what follow-up is required and when to return. An unresolved screening result is not a diagnosis by itself. Do not use remedies, antibiotics or supplements simply to try to pass. The approved centre applies the official process and submits the result.
How to prepare
Confirm preparation directly with your assigned centre.
- Ask whether fasting is needed for the requested tests.
- Disclose medicines, supplements, previous treatment and relevant medical history. Do not stop prescribed treatment without medical advice.
- Keep previous reports available when there is an existing condition or a repeat-test request.
Source and review: BookAppointment.pk booking guidance and editorial review, 15 October 2026. Official examination requirements and individual records remain controlled by the responsible centre and service. Official service reference.
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Reviewed by: Book Appointment editorial team · Last reviewed: 15 October 2026
