MUMBAI PORT TRUST HOSPITAL

WADALA, MUMBA(- 400 037.

DEPARTME

Ref. No. Hosp./R/E/F Date : 3]osl23

This is O cerufy hat Mr./Smt./Mast./H Adka

is/was under Indoor/Outdoor treatment from 24(Aos|23 to 3s/23 as he/ste
is/was suffering from Shoulde
Blunt tang,aro Cubt Lnjwy He / She i:/sa

advised rest for till eecs

He / She is fit to resurne Duty/ College/School from

R.MØ./M0.
PORT TRUST HOSPITAL

lBackup Dipak\SCiI(OL CERTIFICATE.doc Dr. OM PARSHURA PATIL

MBDS, NMSRrPS
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M.A. R. No. F/ 3

Name
Tart
Designation Deptt. 9 ) EEAL!
Date of Birth
Jr. Engineet
-07 1993 Age

PORT TRUST HOSPITAL, WADALA, MUMBAI-400037.

LERSY
Deposit this Papar Again in- 0.P.D, No. 1 zfa.
 PORT TRUST HOSPITAL M/10/F (Contn.)

pate History &Physical Finding Prescription

2APR 2023
Ofthopaedtc No,
 PORT TRUST HOSPITAL M10/F (Con
Date History &Physical Finding Prescription

OPDNNO
11APR
2023

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 PORT TRUST HG3PITAL MI10/F (Contn)

oate History &Physical Finding cnave(o Prescription

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02 MAY 2023
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Date Prescription

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Physical
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