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MEDICAL CERTIFICATE
Signature of the Applicant ………………………………………………….
I, Dr. ………………………………………. after careful personal
examination of the case hereby certify that ……………………………………..
………………… whose signature is given above, is suffering from
…………………….. that I consider that a period of absence from duty for
…………………. with effect from ………………… to …………………… is
absolutely necessary for the restoration of his/her health.
MEDICAL OFFICER
Station:
Date :
CERTIFICATE OF MEDICAL FITNESS
Signature of Applicant : …………………………………………………….
I, Dr. ………………………………………… do hereby certify that I
have carefully examined Sri./Smt. ………………………………………… of
the ………………………………………. who was suffering from ……………
………………. and whose signature is given above, and find that he/she has
recovered form his/her illness and is now fir to resume duties in Government
service. I also certify that before arriving at this decision I have examined the
original medical certificate(s) and statement(s) of the case (or certified copies
thereof) on which leave was granted or extending, and have taken these in
consideration in arriving at my decision.
MEDICAL OFFICER
Station:
Date :