medical certificate

2
MEDICAL FITNESS CERTIFICATE To whom so ever it may concern This is to certify that I have examined Mr./ Miss. ________________________ He/ she is suffering / not suffering from following diseases Asthma Tuberculosis Diabetes Hypertension Fits / Convulsions Physical Disability Mental Disability Allergy & have undertaken all vaccination. Any other major disease (Please specify) - I certify that Mr. / Miss ___________________________________ is physically, mentally & Psychologically fit / unfit for _______________________________ Programme.

Upload: skcomhacker

Post on 16-Aug-2015

222 views

Category:

Documents


5 download

TRANSCRIPT

MEDICAL FITNESS CERTIFICATETo whom so ever it may concernThis is to certify that I have examined Mr./ Miss. ________________________He/ she is suffering / not suffering from following diseasesAsthma TuberculosisDiabetes Hyertension!its / "onvulsions #hysical DisabilityMental Disability Allergy$ have underta%en all vaccination.Any other ma&or disease '#lease secify( )I certify that Mr. / Miss ___________________________________ is hysically* mentally $#sychologically fit / unfit for _______________________________ #rogramme.Medical Authority#lace+Dated+!ootnote+ , -tri%e out whichever is not alicable.