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Medical Clinic

This medical certificate was issued for Mr./Miss/Mrs. [Name] on [Date]. The individual was seen and examined on [Date] and any medical check-up findings were either within normal limits or showed some abnormalities. Laboratory and radiographic tests were also either normal or showed some abnormalities. Based on the examination, the individual was deemed either fit or unfit for work, or other remarks were included.

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Angelica Branzuela Pagal Aninipot
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765 views1 page

Medical Clinic

This medical certificate was issued for Mr./Miss/Mrs. [Name] on [Date]. The individual was seen and examined on [Date] and any medical check-up findings were either within normal limits or showed some abnormalities. Laboratory and radiographic tests were also either normal or showed some abnormalities. Based on the examination, the individual was deemed either fit or unfit for work, or other remarks were included.

Uploaded by

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

MEDICAL CERTIFICATE

Date: ____________

This Certification is issued per request of Mr./Miss/ Mrs. _________________________________


He/She was: [ ] seen and examined on _____________________________________
[ ] seen, examined and treated on ___________________________________

Medical check-up yielded PE finding that are: [ ] within normal limits, with a BP of ______
[ ] with abnormalities, namely:
_______________________________________________________________________________
____________________________________________________________________________

Laboratory & radiographic findings are: [ ] within normal limits

[ ] with abnormalities, namely

Remarks: [ ] Fit to work


[ ] unfit to work
[ ] Others: _______________________________________________________________
______________________________________________________________________________
________________________________________________________________________________

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