Registration No. …………………………………………………………. Dated: Seal. Note: Medical certificate granted by a qualified medical practitioner holding at least M.B.B.S. Degree and. |
Signature of the Govt. servant …………………………………………………………….. I, Dr. …………………………………………...…… after careful personal examination of the case, hereby certify that ... |
1. Name of the person examined. 2. Father's Name/Spouse Name. 3. Residential address. 4. Age and date of birth. 5. Height. 6. Weight (in Kgs). |
MEDICAL CERTIFICATE ... I also certify that before arriving at this decision, I have examined the original medical certificate and statement of the case. |
He/She has no disease or mental or bodily infirmity unfitting or likely to unfit him/her in the future for active outdoor service. Marks of identification. |
FORMAT 6. [See rule 39(8)]. Medical Certificate. Certified that I/We have carefully examined ……………………………………………… (Name of Government servant) son/daughter of ... |
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