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Medical Fitness Certificate 1

1) The document contains a medical certificate signed by a doctor certifying that an applicant named Dr./Shri/Smt./Ms. [name] is suffering from an illness and requires an absence from duty from [date] to [date]. 2) It also contains a fitness certificate signed by a doctor certifying that the same applicant has recovered from their illness and is now fit to resume their duties in government service. 3) Both certificates contain the doctor's signature, place, date, and registration number.

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Daryll Dela Paz
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2K views1 page

Medical Fitness Certificate 1

1) The document contains a medical certificate signed by a doctor certifying that an applicant named Dr./Shri/Smt./Ms. [name] is suffering from an illness and requires an absence from duty from [date] to [date]. 2) It also contains a fitness certificate signed by a doctor certifying that the same applicant has recovered from their illness and is now fit to resume their duties in government service. 3) Both certificates contain the doctor's signature, place, date, and registration number.

Uploaded by

Daryll Dela Paz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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MEDICAL CERTIFICATE

Signature of Applicant …………………………….……..

I, Dr.................................................................................after carefulpersonal examination


of the case hereby certify thatDr. /Shri /Smt. /Ms....................................................(name
& designation of applicant) of the Office of the …………………… whose signature is
given above is suffering from ……………………… ………………. and, therefore, I
consider, that a period of absence from duty from ………………to.........................with
effect from.....................is absolutely necessary for the restoration of his/her health.

Place: Signature of Government Medical Officer /Civil Surgeon /


Staff Surgeon/Authorized Medical Attendant/Registered
Medical Practitioner alongwith official seal
Date:Registration No.

…………………………………………………………………………….

FITNESS CERTIFICATE
Signature of Applicant..................................................

I, Dr. ............................................................................. do hereby certifythat I had


carefully examined Dr./Shri/Smt./Ms. ...........………………………………….………...
(name & designation of applicant) of the Office of the ………………………….….
whose signature is given above, and find that he/she has recovered from his/her illness
and is now fit to resume duties in Government service. I also certify that before arriving
at this decision, I have examined the original medical certificate and statement of the case
(or certified copies thereof) on which leave was granted or extended and have taken these
into consideration in arriving at my decision.

Place: Signature of Government Medical Officer /Civil Surgeon /


Staff Surgeon/Authorized Medical Attendant/Registered
Medical Practitioneralongwith official seal
Date: Registration No.

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