Licence no: 130173012201715

MEDICAL CERTIFICATE

Name of the Patient: Mr.Nithin M. G Op No: 653/2022

Address: Nidhi Bhavan,Parameshwaram , Mundakkal P.O

Age:31yrs Sex: Male

Date of treatment: 05/12/2022

Date of Issue: 10/12/2022

To Whomsoever it is concerned,

This is to certify that Mr.Nidhin M.G was Diagnosed and examined with Infected and impacted third
molar on both Left upper and lower back tooth region and patient had to undergone surgical extraction
of both 28 and 48 under local anesthesia on 05/12/2022. Medical attention for 7 days is necessary for the
restoration of his health.

Certified by

Dr.Shahin Ismail BDS,MDS

Reg no:11638