You are on page 1of 1

Apollo Hospitals

Touch a Billion Lives …

MEDICAL CERTIFICATE
I have examined To Miss Mangal Ganpati Barule City -Udgir Dist -Latur
51 Years In Hospital Admit form 15 June 2023 To 17 October 2023
Due to Severe Chronic diseases such as heart disease and
Abdominal
painissues that are likely to interfere with the effectiveness

Signature of Candidate
(To be signed in presence of the Medical Officer)

Signature of Medical Officer:

Name of Medical Officer: Dr. Nagaraj S, MBBS, MD


Designation: Senior Consultant – Internal Medicine

Dated: 17/10/2023
Note: Medical certificate granted by a qualified medical practitioner holding at least M.B.B.S. Degree and
registered with Medical Council of India, shall only be valid. The date of issue of the medical certificate
should be within one year from the date of application.

154/11, Bannerghatta Road, Opp. I.I.M


Bangalore -560 076
+91-80-41463151
info@apollohospitals.com
www.apollohospitals.com

You might also like