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DR Notes

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Paulos Sepeng
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0% found this document useful (0 votes)
42 views1 page

DR Notes

Uploaded by

Paulos Sepeng
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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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……………………………………………..

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