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Medical Certificate

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100% found this document useful (1 vote)
7K views1 page

Medical Certificate

Uploaded by

21csds008
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

DR. Ravishankar Maurya Monday To Saturday


MBBS (morning 9AM to Evening 6 PM)
General Physician Sarnath,Varanasi
MOB-01161260805
Ext. 854

I, Certify that I have carefully examined


Mr./Mrs./Ms.…………………………………………………., son/daughter/wife of
………………………, whose signature mentioned below. He/She was suffered
from illness which is described below and the treatment of him/her has been done in
my medical inspection.

Based on the examination, I certify that now he/she is in good mental and physical
health and free from any physical defect which may interfere with his/her studies
including the active outdoor duties required for a professional.

Nature Of Disease:…………………………………………….

Duration Of Treatment:……………………………………….

Signature Of Patient:…………………………………………

Place: ………..
Date: ………...

Dr.Ravishankar Maurya
MBBS

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