You are on page 1of 1
Annexure 7 MEDICAL CERTIFICATE {to be issued by a Registered Medical Practitioner) ‘GENERAL EXPECTATIONS (Cancidatos should have good ganealphysquo. n partcula, «Chest measurement should not be las than 70cm with stsactory Its of expansion and contraction Vision should be narmal. In easa of defective vison, it should be corected fo 6/9 in both eyss or BIS inthe betr ys. Colour lind and un- ocular (having vision in only one eye) persons ar restcid trom admission lo certain courses + Hearing shoud be normal. Defective hearing shouldbe corrected '= Heart and lungs should not have any abnormally and there should bo no history of montaliness and eploptic is 7 Name ofthe cancidate Gender 2] ieeniiation Mark fa mole, scar or bithmary), any ‘3 | Major iness/operaton, any (pecly nature of iinessToperaton) 7 Regine Waightin kg Blood Grou: 3 |Past Fisory a) Merial ness © | Chest fa) inspiration h oor TIExpration mom 7 | Hearing | Vision wih or without | Right Eye TeftEye | Colour Blindness] Uniocular vision (naving glasses: Vision in only one eye) 9 | Respiratory Syston To Nenous Systern Tt | Feat ay Sounds Tey Marr 72] Abdomen Fema Fiyerocele (@) Liver (©) Spleen ‘Any other defects: Cortiticate of Medical Fitness The candidate fulfls the prescribed standard physical fness, medical fines and is FIT for admission to Engineering/Architecture! Pharmaceutics! Science Course The candidate does not fufl the prescrbed standard of physical finessimedical finess and is, Lnsittemporarly unfit for admission due to following defects: Name of the Doctor Regn. No Signature with date Seal

You might also like