Department of Empowerment of Persons with Disabilities,

Ministry of Social Justice and Empowerment, Government of India

Doctor's Diagnosis Sheet

(Date : 19/04/2024 )

(A) UDID No. : UP7010320090133822 Applicant Full Name : Devasy Shakya

Date of Birth : 24/04/2009
Gender : Male Address : Vill Agaunapur Post Aliganj,207247

(B)

(C) Medical Board Recommendation:

Disability percentage : 45 Disability Condition : Progressive Nature of Disability : Temporary

Remarks : ok

Chief Medical Officer

Etah, Uttar Pradesh

This Card/Certificate is meant to certify the disability of the person and is not an instrument for ID/Address Proof for any purpose.