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Disability Certificate

This disability certificate certifies that Kum. Pragnya Parimita Mund, a 15-year-old female from Bhawanipatna, Odisha, has a 42% permanent hearing impairment diagnosed as bilateral moderately severe sensory neural hearing loss. The certificate was issued by the Issuing Medical Authority in Kalahandi, Odisha based on their examination and her submitted Aadhaar card as proof of residence.

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Firoj Kumar Sahu
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7K views1 page

Disability Certificate

This disability certificate certifies that Kum. Pragnya Parimita Mund, a 15-year-old female from Bhawanipatna, Odisha, has a 42% permanent hearing impairment diagnosed as bilateral moderately severe sensory neural hearing loss. The certificate was issued by the Issuing Medical Authority in Kalahandi, Odisha based on their examination and her submitted Aadhaar card as proof of residence.

Uploaded by

Firoj Kumar Sahu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Department of Empowerment of Persons with Disabilities,

Ministry of Social Justice and Empowerment, Government of India

Disability Certificate
Issuing Medical Authority, Kalahandi, Odisha

Certificate No.: OD2610420040061612 Date: 16/05/2016

This is to certify that I/We have carefully examined Kum. Pragnya Parimita Mund Daughter of Shri Jagannath Mund
Date of Birth 27/05/2004 Age 15 Year(s) Female, Registration No. 2126/00000/1907/0725193 resident of House
No. Sambhunagar, Pada, Block 2, Lane No-3, Bhawanipatna, Bhawanipatna, Sadar - 766001 Sub District
Sadar District Kalahandi State / UTs Odisha
Whose photograph is affixed above, and I/We satisfied that:

(A) She is a case of Hearing Impairment


(B) The diagnosis in her case is BILATERAL MODERATELY SEVERE SENSORY NEURAL HEARING LOSS

(C) She has 42%(in figure) Forty Two percent(in words) Permanent in relation to her (part of body) as per
guidelines (to be specified).

The applicant have been submitted the following document(s) as proof of residence
Nature of Document(s): Aadhaar card

Signature / Thumb impression of the Person With Disability

Signatory of notified Medical Authority Member

Issuing Medical Authority, Kalahandi, Odisha

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

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