This medical certificate confirms that a person named lives in a particular jurisdiction and has a certain occupation. It states they are suffering from a condition and recommends a course of treatment. The certificate was issued on a specific date and is signed by the attending physician to serve for a particular purpose.
This medical certificate confirms that a person named lives in a particular jurisdiction and has a certain occupation. It states they are suffering from a condition and recommends a course of treatment. The certificate was issued on a specific date and is signed by the attending physician to serve for a particular purpose.
This medical certificate confirms that a person named lives in a particular jurisdiction and has a certain occupation. It states they are suffering from a condition and recommends a course of treatment. The certificate was issued on a specific date and is signed by the attending physician to serve for a particular purpose.
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fişă / registru de consultaţii
Localitatea ......................................... .................................................................. Unitatea sanitară ......................................... CNP ADEVERINŢĂ MEDICALĂ Se adevereşte că: .............................................................................................................. Sexul: M / F numele şi prenumele cu domiciliul în: judeţul ...................... localitatea .............................. str. .......................................... nr. ....... bl. ..... ap. ......... sect. ....; având ocupaţia de: ............................ la ......................................... Este suferind de: ............................................................................................................................................ ............................................................................................................................................................................ ... Se recomandă .................................................................................................................................................. ................................................................................ .............................................................................................. S-a eliberat prezenta spre a-i servi la: .................................................................................................... Data eliberării: Semnătura şi parafa medicului, anul ................ luna ............................ ziua ..... L. S. ............................................. faţă 10.1; A6; t2