MEDICAL FITNESS CERTIFICATE FOR DRIVERS: Company Name: a) ‘EMP ID No: Employee Name: p. Date pa Ibu)oa2) Age OS See at Residential address: NLOWIB) Bhayobbayalr Syren bowed Mellon Veegecr, Designation at work: identteation Mark: % B yt ot Prive A Black moke onthe Ki aeict (GENERAL EXAMINATION . lool Bo Pue G0 | nt Kewl. ‘Weight Height Pallarficterus Ne tymphadenopathy Respiratory System Heart ‘Abdomen Central Nervous System JT A) Distant aw E Ts the person suspecting any Communicable or infectious Disease (Yes/No): If yes, description. Urine Examination (Report): & ay Remarks ifany: itis cer egies Tita “Gunosalowy ‘employed with Bch wees m/: . has been carefully examined by me on date. Based on the medical examination conducted, he/she is found free from any infectious or ‘communicable diseases and the person is fit to work in the organization. (Signature of octor with . oh : Dr. J. DAVASEELAN RAJKUMAR, 6.6.83 Rogd Medical Practitioner Reg. No. 46427 Name of Doctor: KIRUBA CLINIC Registration No: