Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Medical Certificate

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 3

MEDICAL CERTIFICATE FOR NON-GAZETTED OFFICERS

RECOMMENDEDFOR LEAVE OR EXTENSION OR


COMMUTATION OF LEAVE

Signature of applicant:
I, Dr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . after careful personal
examination of the case hereby certify that Thiru/Tmt. /Selvi. . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . .. of
the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . Department, whose signature is given above, is suffering
from . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .and I
consider that a period of absence from duty for . . . . . . days with
effect from . . . . . . . . . .is absolutely necessary for the restoration of
his/her health.Station : Signature :Date : Designation:
---------------------------------------------------------
-

FORM OF MEDICAL CERTIFICATE OF FITNESS TO RETURN


TO DUTY

Signature of applicant :
I, Dr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . do hereby certify
that I have carefully examined
Thiru/Tmt./Selvi. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . of
the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . Department, whosesignature is given above and find that he/she
has recovered from his/her illness and is now fitto resume duties in
Government Services.I also certify that before arriving at this decision
I have examined the Original MedicalCertificate of the case (or
certified copies thereof) on which leave was granted or extendedand
have taken these into consideration in arriving at my
decision.Station : Signature :Date : Designation:
MEDICAL CERTIFICATE

To Whomsoever Concerned

This is to certify that Mrs Babita, daughter of Sh. Kishori Lal aged 28 years, resident
of H.no 28 Pandhia Mohalla i/s pahari gate P.O Batala, District Gurdaspur, state
Punjab, is free from injuries, back pain and other health issues that are likely to
interfere with the effectiveness of their studies. She is in good health and is able to
perform to their full capacities without any hindrances.

This certificate is provided to him/ her for the purpose of ________________

Signature of the Applicant _____________

(To be signed in the presence of the medical officer)

Signature of the Medical officer _____________

Name of the medical officer __________

Dated: _______

Seal of the medical institution

You might also like