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Health

The document is a health certificate certifying that a candidate has been examined and found free of communicable diseases or bodily infirmities, except for any noted conditions. It includes the candidate's age, height, weight, vision, and urine analysis results. The certificate is signed by both the candidate and the Chief Medical Health Officer (CMHO) at the place of examination.

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dipenderchoudhary2
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4 views1 page

Health

The document is a health certificate certifying that a candidate has been examined and found free of communicable diseases or bodily infirmities, except for any noted conditions. It includes the candidate's age, height, weight, vision, and urine analysis results. The certificate is signed by both the candidate and the Chief Medical Health Officer (CMHO) at the place of examination.

Uploaded by

dipenderchoudhary2
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Health Certificate

I do hereby certify that I have examined Shri/Kumari/


Smt...........................................................................................
...................................................................Son/Daughter/Wife of
Shri...........................................................................
...................................................................a candidate for employment in
the............................................................
............................................................................................................................................ Department and
can not discover that he/ she has any disease, constitutional affection or bodily infirmity Communicable or
otherwise except ...........................................................................................................................................

I do not consider this a disqualification for Employment in the office as a.................................................


...................................................The candidates age is according to his own
Statement............................................
...................................................................year and by appearance about
...................................................................
...................................................................years

I have further to certify the following findings on my medical Examination :-

1. Height...................................Feet...................................Inch
2. Weight..................................Lbs.
3. Vision : R.E. L.E. With Glasses RE LE.
Distant :
Near :
4. Urine Colour ...........................................Specific Gravity...........................................
Albumen Present/Nill Sugar Present/Nill.

I declare that I have/had not been Medically Examined previously for any post in Govt. Service and was
declared fit/Unfit.

Signature of the candidate


Place of Examination Signature of the CMHO
Dated the

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