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Medical Fitness Certificate 2024 2025

This document is a medical fitness certificate for a student applying to study abroad. It collects information about the student's physical health including weight, blood pressure, vision, hearing, medical conditions, vaccinations and medications. The certifying medical officer confirms the student shows no signs of physical or mental illness and deems them fit to undertake studies.

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Mamoon Khan
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2K views1 page

Medical Fitness Certificate 2024 2025

This document is a medical fitness certificate for a student applying to study abroad. It collects information about the student's physical health including weight, blood pressure, vision, hearing, medical conditions, vaccinations and medications. The certifying medical officer confirms the student shows no signs of physical or mental illness and deems them fit to undertake studies.

Uploaded by

Mamoon Khan
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 FITNESS CERTIFICATE

Name: __

Father’s Name: __
(Photograph)
Gender: Age: __

1. Weight: (kg) Height: (cm) BP: ___________________


2. Blood Group: 3. Lungs:
4. Heart: 5. Vision Left Eye: Right Eye:
Details of Glasses (if worn): 6. Hearing:
7. Any Impediment in Speech:
8. Any Disability:
9. Any Neurological / Psychiatric Disease, (if yes, please give details):

10. Suffering from Hepatitis B or C / HIV (AIDS):


11. Any Significant Disease Diagnosed in the past:
12. Vaccinated (Yes / No / Partially):
13. Taking any medicine on regular basis (if yes, please give details):

14. Allergies if any:


15. Any Communicable / Contagious Disease:
16. Mark of Identification:

I certify that upon examination, Mr.___________________________S / O______________________________


who is applying for admission to the Master/Mphil/Ph.D Program abroad, shows no signs of physical or mental
illness and is deemed FIT to undertake studies.

Dated: ___/___/______
Medical Officer
District Headquarter Hospital KDA
Karak

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