Medical Certificate

On examination of the CASE

Hereby certify that is suffering

From dislocated bone of ulna /radius on his /her left arm. And I

Consider a period of 3days with effect from September 17,2013 is absolutely necessary for
restoration

Of his/her health .

Date: September20,2013

Place: madanapalli

Items desperation quantity Unit prize Line total

1 hihieiertihriurhgrghreuhuawdfh 4 200 322