B Cert
B Cert
B Cert
(To be completed in the case of patients who are admitted to hospital for treatment)
PART A
1.
2.
3.
4.
c. that the injections administered were/were not for immunizing or prophylactic purposes;
d. that the patient is/was suffering from ……………………………………. And is/was under
treatment from……………………………..to……………………..;
e. that the X-Ray, laboratory tests, etc., for which am expenditure of Rs…………………….was
incurred were necessary and were undertaken on my advice at…………………….(name of
hospital or laboratory).
f. that I called on Dr……………………….. for specialist consultation and that the necessary
approval of the ……………………. (Name of the Chief Administrative Medical Officer of the
State) as required under the rules, was obtained.
I certify that the patient has been under treatment at the ……………………………….….
…………………………………………………………………………………….hospital and that
the service of the special nurses for which an expenditure of Rs………………….. was incurred,
vide bills and receipts attaches, were essential for the recovery/prevention of serious
deterioration in the condition of the patient.
COUNTERSIGNED
Medical Superintendent
……………………………Hospital
I certify that the patient has been under treatment at the …………….……………………………
Hospital and that the facilities provided were the minimum which were essential for the patient’s
treatment.
Medical Superintendent