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Dr.

Pravin Jain
M.B.B.S., A.F.I.H.
Address: E/804 Teakwood ,Vasant Garden,Mulund (W),MUMBAI -80

Mobile-9769329713 email-drpravinj@gmail.com

MEDICAL CERTIFICATE
Date-

As per the Application of Mr/Mrs.---------------------------------------------------


was screened for the Influenza like symptoms. As per screening he/she does
not have any sign or symptoms of Influenza like illness. i.e. Cold, Fever,Cough.
His/Her parameter are BP- mmHg, Pulse- /min, SPo2- Temp-
He/She is fit to travel.

Patients Aadhar Card No. Doctor's Signature

Seal with Reg. No.

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