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Medical Certificate

Here is an example of Medical Certificate (Recommended for Leave) used in India.

Medical Certificate

 Signature of patient __________

This is to certify that           s/o                     aged  bearing the following identification marks has been examined by me today and I find that he is  suffering from viral fever.

I consider that a period of absence from duty of     days with effect from ______ till ________is absolutely necessary for the restoration of his health.

Identification Marks:

1.

2.

Place:

Date:

Dr.

MCI Registration No.

 

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Last modified: 02/10/04