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Dr.

Nikhil Bhosale
Ph. 8983464189
Address: Shop no 13,
Gurudatta society,
Kalewadi Phata,
Pimpri, Pune- 17

Swasthya Clinic

MEDICAL CERTIFICATE

Name of the Patient. .................................................

I, Dr. .............................................. after careful personal examination of the


case
hereby certify that ............................................
is suffering from .......................... .

……............................... was not in a condition to write


examination/ attend class during the period from ………… to …………... ( ........ days)

Signature

Date :

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