Medical Certificate Signature of applicant............................................................................................... I, (Name)............................................................................................................................... after careful personal examination of the case hereby certify that(Name and official address)......................................................................................................................whose signature is given above is suffering from...........................................................and that I consider that a period of absence from duty of .................................days with effect from ........................................is absolutely necessary for the restoration of his/her health. Signature of Medical Officer Place..................................... Name Date ..................................... Registration No Part of Registration (Seal) System of medicine Fitness Certificate Signature of applicant................................................................................................ I..............................................................................................................................do hereby certify that I have carefully examined.........................................................................whose Signature is given above, and the he/she has recovered from his/her illness and is now fit, to resume duties in Government Service. I also certify that before arriving at this decision I have examined the original Medical Certificate and statement of the case on which leave was granted or extended and have taken these into consideration in arriving at my decision. Place : Signature of Medical Officer Date : 'A' Class Medical Practitioner Reg : No.
