Scribd
Upload
786 views1 page

Medical Form - Word Format

This certificate is required to verify an individual's medical fitness and must be obtained from a registered medical practitioner with an official seal. It collects biometric and medical information including height, weight, blood group, vision, hearing, and any existing medical conditions. The practitioner must examine the individual and certify they are mentally and physically fit without disease before signing and dating the certificate.

Uploaded by

gunjan.solanki90
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
786 views1 page

Medical Form - Word Format

This certificate is required to verify an individual's medical fitness and must be obtained from a registered medical practitioner with an official seal. It collects biometric and medical information including height, weight, blood group, vision, hearing, and any existing medical conditions. The practitioner must examine the individual and certify they are mentally and physically fit without disease before signing and dating the certificate.

Uploaded by

gunjan.solanki90
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

CERTIFICATE OF MEDICAL FITNESS

To be obtained only from a Registered Medical Practitioner under sign and seal.

Please note that this certificate in no other form will be accepted. Medical Certificates issued
by private medical practitioners will not be accepted. Name (in Block letters)
Father’s Name

Height

Weight

Blood Group & Rh. Factor

Chest

Heart & Lungs


L:
Vision R:

Colour Vision

Hearing:

Hernia/ Hydrocele / Piles (if any)

Any communicable or other disease (if any)

I certify that I have carefully examined Sh./Km./Sm. son/daughter of Sh.


, who has signed in my presence. He/She has no mental and physical disease and
is FIT.

Name & Signature of the Medical Officer with legible seal Signature of the Candidate

Station: Date of Issue:

You might also like