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Medical Certificate: Signature

The medical certificate certifies that a person was suffering from an unspecified illness and was under treatment from specific dates. The person has been advised complete bed rest during that period and is now medically fit to resume duties from a given date. The certificate provides details of the certifying doctor such as name, registration number, address, and signature.
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100% found this document useful (1 vote)
6K views2 pages

Medical Certificate: Signature

The medical certificate certifies that a person was suffering from an unspecified illness and was under treatment from specific dates. The person has been advised complete bed rest during that period and is now medically fit to resume duties from a given date. The certificate provides details of the certifying doctor such as name, registration number, address, and signature.
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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MEDICAL CERTIFICATE

No. 3477 Date9//22G


TO WHOMSOEVERIT MAY CONCERN
This is to certify that

Mr. /Mrs. /Ms. /Mast.

Age\y Resident of st4, uobnw colny Cmdasa om


was/is/suffering from UphR Royeloy rat akoa
and has/had been under treatment from 29uo 24pr). to

.He/She, has/had been advised complete bed rest during


the above period of illness. He/She is medically fit to resume his/her
duties/work/school with effect from

Seal

DoctorGTASCH.
Name of the MOIRO NO 12777
lagar
G-Block. Govi
Registration No: 126/5, Kanpur(U.P.)

Signature:
WITH BLESSINGS OF GOD ALMIGHTY & LEGENDARY DR. ASHOKKAPOOR
DR. GAUTAM KAPOOR APP. NO. 7310055500
M.B., B.S., D.C.H. 9307328989
Reg. no,- UPMC- 65553
FAMILY PHYSICIAN & CHILD SPECIALIST
ASSOCIATION
3427 ADDRESS:
126/5, G-BLOCK, GOVIND NAGAR,
KANPUR, U.P., INDIA.
LIFE MEMBER INDIAN MEDICAL
PEDIATRICS TIMINGS:
LIFE MEMBER INDIAN ACADEMY OF
LIFE LIFE MEMBER INDIAN COUNCIL OF MATERNAL AND CHILD HEALTH MORNING: 9:3o AM TO 2:00 PM
LIFE MEMBER I.M.A. COLLEGE OF GENERAL PRACTITIONERS
EVENING: 6:0O PM TO9:30 PM
EX-RESIDENT, LOK NAYAK JAI PRAKASH HOSPITAL, DELHI. SUN. EVENING CLOSED
FOR EMERGENCY- 2.3o TO O6.00 PM
EX-INTENSIVIST, NICU, MADHURAJ NURSING HOME, KANPUR.
CONSULTANT, MADHURA NURSING HOME, KANPUR EMAIL: [email protected]

NAME: AGE: 14heos SEX: ale


MOB: o 6So18 S6 DATE: 2 0 2
IMMUNIZATION:
RBS:
TEMP: °F SPO2: HR: BPM BP: mmHg

ONLINE CONSULTATION
GEN. PHYSICAL EXAMINATION NOT DONE

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Dtzat feo

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PULSE OXIMETER PEAK FLOWMETERo IR LAMP


" ALL LATEST VACCINES ECG OBLOOD SUGAR NEBULISER O
MEDICOLEGALLY INVAL
THIS PRESCRIPTION IS VALID FOR TWO VISITS OR FIVE DAYS & IS
FOR ONLINE CONSULTATION /EMERGENCY CONTACT @99350571
CHEMICAL
WE FOLLOWALL COVID PROTOCOLS, CLINIC IS SANITIZED WITH UV LAMPS AND

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