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How to Download Medical Certificate Format for Job/ Interview/ Eye Sight/ Leave?

Medical Certificate :
A medical certificate is a statement from a physician or other health care provider that attests to the result of a medical examination of a patient. It can serve as a “sick note” (documentation that an employee is unfit for work) or evidence of a health condition.

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Medical certificates are sometimes required to obtain certain health benefits from an employer, make an insurance claim, for tax purposes, or for certain legal procedures. Medical certificates are used to indicate eligibility of activity, such as the use of disabled parking. Medical certificates can also be used to describe a medical condition a person has, such as blindness. Medical certificates are often used to certify that someone is free of contagious diseases, drug addiction, mental illness, or other health issues.

Health criteria are often required when making an application for something, such as an eye examination to get a driver’s license. Other times medical criteria are presented voluntarily by an applicant in a self-assessment, without either a doctor or access to the person’s medical record. Specific health criteria or medical history are required for certain jobs

Medical Certificate Format For Leave :

Medical Certificate

Signature of the Applicant _________________

I, Dr. _________________ after careful personal examination of the case hereby certify that _________________ whose signature is given above, is suffering from _________________. that I consider that a period of absence from duty for_________________ with effect from_______________ to ______________ is absolutely necessary for the restoration of his/her health.

                                                                          Medical Officer

Station :
Date :

Certificate Of Medical Fitness

Signature of Applicant : _________________

I, Dr_________________ do hereby certify that I have carefully examined Sri./Smt_________________ of the_________________ who was suffering from _________________ and whose signature is given above, and find that he/she has recovered form his/her illness and is now fir to resume duties in Government service. I also certify that before arriving at this decision I have examined the original medical certificate(s) and statement(s) of the case (or certified copies thereof) on which leave was granted or extending, and have taken these in consideration in arriving at my decision.

                                                                      Medical Officer

Station :
Date :

 

Download Application Format Here :
https://www.indianjobtalks.in/uploads/13113-medical.pdf

 

Medical Fitness Certificate Format For Eye Sight :

Form Of Medical Certificate :

I have this day, medically examined Sri/Smt./Kumari_________________ and found that he/she has no disease or infirmity which would render him/her unsuitable for Government Service. His/her age, according to his/her own statement is _________________and by appearance is _________________. and his/her standards of vision are as follows :

Standards Of Vision :

(Eye Sight without glasses)

Right Eye Left Eye
1. Disitant Vision :- _________________snellen _________________.snellen

2. Near Vision : _________________ snellen _________________.snellen

3. Field of vision ;- _________________.

(Specify whether full or not. Entry such as ‘Normal’, ‘Good ‘etc. will be inappropriate here.)

3. Colour blindness :- _________________

4. Squint :-_________________.

5. Any morbid conditions of the eye of lids of either eye :
He/she is physically fit for the post of _________________in _________________Department.

Signature :

(Name and Designation of the Medical Officer)

Place : _____ 
Date
:_____

                                                     (Seal)

Note :-
Details regarding standards of vision should be clearly stated in the Certificate, as given above. Vague statements such as “vision normal”… etc. will not be accepted. Specification for each eye should be stated separately. If the specifications are not as indicated above, the Officer issuing the Certificate should certify whether the candidate has got better standards of vision or worse standards of vision, as the case may be. Otherwise, the Certificate will not be accepted.

* The Medical Certificate should be one obtained from a Medical Officer not below the rank of a Civil Surgeon.

 

Download Format Here :
https://www.indianjobtalks.in/uploads/13113-medical%20certificate.pdf

 

Medical Fitness Certificate Format For Job :

Medical Fitness Certificate

I certify that I have carefully examined Sh./Km.___________________
son/daughter of Shri ._________________
His/Her age is about _________________
His Chest Measurement is
Unexpanded_________________cm
Expanded_________________cm
His/her eyesight is up to the prescribed standards.
Details of glasses, (if worn) _________________

He/she has no disease or mental or bodily infirmity unfitting or likely to unfit him/her in the future for active outdoor service.

Marks of identification

Thumb impression

Dated._________________

                                          (Signature of Gazetted Medical Officer)

                                                                Official Seal

                                                    Signature of the Candidate

Note :
Paste Passport size photograph first with gum and then get attested by M.O. conducting medical test

 

Download Format Here :
https://www.indianjobtalks.in/uploads/13113-mdc.pdf

 

Medical Fitness Certificate Format For Interview For Engineering Job :

Certificate Of Medical Fitness :

The certificate must be from the Medical Officer or any rank above it from any Central/State Government Hospital/Dispensary/Medical College must be brought by the candidate at the time of interview.

1. Application Form No. : _________________
2. Name of the Candidate : _________________
3. Father’s Name : _________________.
4. Mother’s Name : _________________
5. Sex : (Male/ )
6. Height : _________________
7. Weight : _________________
8. Identification Mark : _________________
9. Chest Measurement : _________________
10. Heart and Lungs : _________________ Piles, Hydrocele, Hernia etc.
11. Vision : _________________
12. Colour Blindness : _________________
13. Hearing : _________________

Certified that the candidate possesses the medical standards given below and is medically fit for the engineering profession.

Place : _________________
Date : _________________

Signature & Designation with seal of the Authorised Medical Officer

Medical Standards :
Height : Not less than 1.5 m for male candidates and not less than 1.4 m for candidates.
Weight : Minimum 41 kg approximately for male candidates and 37 kg approximately for candidates.
Chest Measurement : Not less than 69 cm. with satisfactory limits of expansion and contraction for male candidates only
Heart & Lungs : No abnormality.
Hernia, Hydrocele, Piles, etc. : Presence of any of these is a temporary disqualification to be rectified before joining the course of study.
Vision : Normal. Where defective, it must be corrected to 6/9 in the better eye and 6/12 in the worse eye. Eye should be free from congenital and other diseases.
Hearing : Normal. Where defective it must be corrected.

Note :
Paste Photo attested by the Doctor signing the Certificate

 

Download Format Here :
https://www.indianjobtalks.in/uploads/13113-Medical_Form_for_Students.pdf

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