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MEDICAL CERTIFICATE OF

FITNESS
TO RETURN ON DUTY

. ISclwel,
I, Civil Surgeon/Physicían/Medical officer of..

Registered practitioner of
Vamatika -lganuonl -93y
.. do hereby certify that I have carefully

examined.. . . . . . . . ky... . and find

that he/she has recovered from his/her illness and is now fit to resume his/ her

duties in Government Service.

***

Govt. Medicaf Attëndent


KA or IN
Registered Practitioner
Date 02/ oe/9-
with No. .aSk.|A..

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