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PH Cert

This document is a disability certificate issued by the Issuing Medical Authority in Nayagarh, Odisha, India for Bijaya Kumar Nayak. The certificate states that Mr. Nayak has a 70% permanent mental illness diagnosed as Bipolar Disorder. His address and identifying information are provided along with the signature of the issuing medical authority.

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Bijaya Kumar Nayak
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2K views1 page

PH Cert

This document is a disability certificate issued by the Issuing Medical Authority in Nayagarh, Odisha, India for Bijaya Kumar Nayak. The certificate states that Mr. Nayak has a 70% permanent mental illness diagnosed as Bipolar Disorder. His address and identifying information are provided along with the signature of the issuing medical authority.

Uploaded by

Bijaya Kumar Nayak
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, Nayagarh, Odisha

Certificate No.: OD1620819850214750 Date: 19/06/2020

This is to certify that I/We have carefully examined Shri Bijaya Kumar Nayak Son of Shri Brajabandhu Nayak Date
of Birth 04/05/1985 Age 34 Year(s) Male, Registration No. 2116/00000/2002/1877753 resident of House No. At-
gobindapur, Po-gadadharprasad,via/ps-itamati - 752068 Sub District Nayagarh District Nayagarh State / UTs
Odisha
Whose photograph is affixed above, and I/We satisfied that:

(A) He is a case of Mental Illness


(B) The diagnosis in his case is BPID

(C) He has 70%(in figure) Seventy percent(in words) Permanent in relation to his (Brain) 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, Nayagarh, 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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