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CHRIS HANI BARAGWANATH HOSPITAL

HEALTH AND HUMAN SERVICE SECRETARIAT (CHBH)


26, Chris Hani Rd, Diepkloof 319-Iq, Johannesburg, South Africa

+234(11) 933-0967
KGH/FW/VOL.II/001070
Our Ref: email:goodhope.maseko@gauteng.gov.za

05/03/2024
Your Ref: Date:
TO WHOM IT MAY CONCERN

MEDICAL CERTIFICATE OF FITNESS


RE: MISS GREY JANE / FEMALE / 24 YEARS
The above-named Prospective foreigner was seen in our facility and She has been
clinicallyexamined. Her visual acuity depicts normal vision without glasses.

Examination findings reveal no abnormality to what is stated

below.Investigation findings are as follows:


Hepatitis B&C - Negative
HIV I&II - Negative
Blood Group - O+
Genotype - AA
Eye - Clear
PCV - 38%
Hearing - Clear
Asthma - Non Asthmatic
Chest X-ray - Normal study
Urinalysis - Normal
Detected Cerebrospinal Meningitis - Vaccination
takenNo focal lung lesion seen
No abnormal soft tissue
calcificationNo bony abnormality
seen

She is free from all infectious disease and has also been adequately immunized
up to date.

She is hereby certified to be medically fit for TRAVELING.

14 AUG 23

Dr. Alice William


Senior Medical Officer

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