Medical Certificate of Sickness and Fitness

Dr. ___________________ Place :

Reg. No. ______________

___________________________

Signature / left Thumb impression

After careful examination of case, I hereby certify that

Mr/Mrs ____________S. Devanya__________________________________ whose signature /

Left Thumb impression furnished above is / was suffering from has / had been under medical treatment

for _______________________________________________and the period of rest and absence of duty

for _____ days which effect from _____________ to ____________ is / was essential to regain his / her

normal health and that he / she is fit to resume his / her duty on _______________

Other Particulars :
 Medical Certificate of Sickness and Fitness

Dr. ___________________ Place :

Reg. No. ______________

___________________________

Signature / left Thumb impression

After careful examination of case, I hereby certify that

Mr/Mrs ____________S. Devanya__________________________________ whose signature /

Left Thumb impression furnished above is / was suffering from has / had been under medical treatment

for _______________________________________________and the period of rest and absence of duty

for _____ days which effect from _____________ to ____________ is / was essential to regain his / her

normal health and that he / she is fit to resume his / her duty on _______________

Other Particulars :
 Medical Certificate of Sickness and Fitness

Dr. ___________________ Place :

Reg. No. ______________

___________________________

Signature / left Thumb impression

After careful examination of case, I hereby certify that

Mr/Mrs ____________M. Swaroopa Rani__________________________________ whose

signature / Left Thumb impression furnished above is / was suffering from has / had been under medical

treatment for back pain and the period of rest and absence of duty for 10 days which effect from

24.11.2021 to 03.12.2021 is / was essential to regain his / her normal health and that he / she is fit to

resume his / her duty on 04.12.2021

Other Particulars :
 Medical Certificate of Fitness and Sickness

Dr. ___________________ Place :

Reg. No. ______________

___________________________

Signature / left Thumb impression

After careful examination of case, I hereby certify that

Mr/Mrs ___Neerukattu Swathi__ whose signature / Left Thumb impression furnished above is /

was suffering from has / had been under medical treatment for _____________________ and the

period of rest and absence of duty for _____ days____ which effect from _____________ to

____________ is / was essential to regain his / her normal health and that he / she is fit to resume his /

her duty on ____________

Other Particulars :
 Medical Certificate of Fitness and Sickness

Dr. ___________________ Place :

Reg. No. ______________

___________________________

Signature / left Thumb impression

After careful examination of case, I hereby certify that

Mr/Mrs _________Neerukattu Swathi_____ whose signature / Left Thumb impression

furnished above is / was suffering from has / had been under medical treatment for -

__________________________ and the period of rest to the candidate is ___________ ___ which

effect from _______________ to ____ ___ is / was essential to regain his / her normal

health and that he / she is fit to attend the interview on _ .

Other Particulars :
 Medical Certificate of Fitness and Sickness

Dr. ___________________ Place :

Reg. No. ______________

___________________________

Signature / left Thumb impression

After careful examination of case, I hereby certify that

Mr/Mrs ____Neerukattu Swathi___ whose signature / Left Thumb impression furnished above

is / was suffering from has / had been under medical treatment for __________________________ and

the period of rest to the candidate is and absence of duty for _ ___ which effect from ___

____ to ____ ___ is / was essential to regain his / her normal health and that he / she is fit to

resume his / her duty on _ .

Other Particulars :
 Medical Certificate of Fitness and Sickness

Dr. ___________________ Place :

Reg. No. ______________

___________________________

Signature / left Thumb impression

After careful examination of case, I hereby certify that

Mr/Mrs ____________M. Swaroopa Rani__________________________________ whose

signature / Left Thumb impression furnished above is / was suffering from has / had been under medical

treatment for back pain and the period of rest and absence of duty for ____5 days____ which effect

from ___27.07.2020____ to ____31.07.2020___ is / was essential to regain his / her normal health and

that he / she is fit to resume his / her duty on __01.08.2020

Other Particulars :