DR S.
O OKHUE
Consulting Room PO Box 13545
No. 2847 Ext 6 The Tramshed
Corner 1 & 6 Pretoria
Tel: 012 023 1881 l Cell: 076 444 7722
Diepsloot 0126
Email: sylokhue@gmail.com
MEDICAL CERTIFICATE
I the undersigned hereby certify that
………………………………………………………………………………………………………………………................................
Was examined by me on
………………………………………………………………………………………………………………(Date of first examination)
And again on
……………………………………………………………………………………………………………….(Date of last examination)
According to my Knowledgement as I was informed, He/She, was unfit to work/attend school
From……………………………………………………….Up to………………………………………….……………and including
Due to illness Operation/Injury
……………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………
He/ She will resume to return to work/to the school on the……………………………………………………….
Signature…………………………………………………………………………….Date……………………………………………..