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Medical Certificate

Covid19 free/Asymptomatic certificate


I,Dr_______________ is a registered medical practitioner and
holding medical license registration number _________
and have examined Mr__________________ S/o
Shri________________ On Date __________2020 and have
found Mr________________ Free from the following disease
:CORONA Virus Disease-Covid- 19 Currently asymptomatic.

Dated:_______2020 Signature
Dr______________
Registered Medical
Practitioner_________
___________clinic
Sector______ Teh____
Distt______ State____
Pin______

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