MEDICAL CERTIFICATE

No. 3477 Date9//22G

TO WHOMSOEVERIT MAY CONCERN
This is to certify that

Mr. /Mrs. /Ms. /Mast.

Age\y Resident of st4, uobnw colny Cmdasa om

was/is/suffering from UphR Royeloy rat akoa
and has/had been under treatment from 29uo 24pr). to

.He/She, has/had been advised complete bed rest during

the above period of illness. He/She is medically fit to resume his/her
duties/work/school with effect from

Seal

DoctorGTASCH.
Name of the MOIRO NO 12777
lagar
G-Block. Govi
Registration No: 126/5, Kanpur(U.P.)

Signature:
 WITH BLESSINGS OF GOD ALMIGHTY & LEGENDARY DR. ASHOKKAPOOR
DR. GAUTAM KAPOOR APP. NO. 7310055500
M.B., B.S., D.C.H. 9307328989
Reg. no,- UPMC- 65553
FAMILY PHYSICIAN & CHILD SPECIALIST
ASSOCIATION
3427 ADDRESS:
126/5, G-BLOCK, GOVIND NAGAR,
KANPUR, U.P., INDIA.
LIFE MEMBER INDIAN MEDICAL
PEDIATRICS TIMINGS:
LIFE MEMBER INDIAN ACADEMY OF
LIFE LIFE MEMBER INDIAN COUNCIL OF MATERNAL AND CHILD HEALTH MORNING: 9:3o AM TO 2:00 PM
LIFE MEMBER I.M.A. COLLEGE OF GENERAL PRACTITIONERS
EVENING: 6:0O PM TO9:30 PM
EX-RESIDENT, LOK NAYAK JAI PRAKASH HOSPITAL, DELHI. SUN. EVENING CLOSED
FOR EMERGENCY- 2.3o TO O6.00 PM
EX-INTENSIVIST, NICU, MADHURAJ NURSING HOME, KANPUR.
CONSULTANT, MADHURA NURSING HOME, KANPUR EMAIL: drgautamkapoor@gmail.com

NAME: AGE: 14heos SEX: ale

MOB: o 6So18 S6 DATE: 2 0 2
IMMUNIZATION:
RBS:
TEMP: °F SPO2: HR: BPM BP: mmHg

ONLINE CONSULTATION
GEN. PHYSICAL EXAMINATION NOT DONE

lhelst
Dtzat feo

bete

PULSE OXIMETER PEAK FLOWMETERo IR LAMP

" ALL LATEST VACCINES ECG OBLOOD SUGAR NEBULISER O
MEDICOLEGALLY INVAL
THIS PRESCRIPTION IS VALID FOR TWO VISITS OR FIVE DAYS & IS
FOR ONLINE CONSULTATION /EMERGENCY CONTACT @99350571
CHEMICAL
WE FOLLOWALL COVID PROTOCOLS, CLINIC IS SANITIZED WITH UV LAMPS AND