Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Medical Certificate

This is to certify that Mr./Ms./Mrs._____________________________ Son/Daughter of ____________

_______________________Age__________ Years of Village/Town________________________

P.O________________________ District___________________ State_________________ is free

from defective vision , deafness and other health issues that are likely to interfere with the

effectiveness of their work. He/She is in good health and is able to perform to their full capacities without any

hindrances.

This certificate is proved to him/her for the purpose of ___________________________________.

Signature of Applicant _______________________________________________

Signature of Medical Officer ____________________________________________

Registration Number __________________________________________________

Date________________________________________________________________

Seal of the medical Institution _______________________________________________

Signature of Medical Officer __________________________________________________

You might also like