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This document contains two medical certificates. The first certifies that an individual named [name] is suffering from an illness and recommends a period of absence from duty of [time period] starting from [date] is necessary for their health recovery. The second medical certificate certifies that the same individual has recovered from their illness and is now fit to resume their government duties, and that this decision was made after examining the original medical documents granting the individual's leave.

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7K views1 page

MC Format PDF

This document contains two medical certificates. The first certifies that an individual named [name] is suffering from an illness and recommends a period of absence from duty of [time period] starting from [date] is necessary for their health recovery. The second medical certificate certifies that the same individual has recovered from their illness and is now fit to resume their government duties, and that this decision was made after examining the original medical documents granting the individual's leave.

Uploaded by

netcity143
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
  • Medical Certificate for Leave: This section contains a form used to certify an employee's incapacity for work and request leave or extension.
  • Medical Certificate of Fitness to Return: This section provides a form for certifying an employee's fitness to resume work after a period of leave.

MEDICAL CERTIFICATE FOR LEAVE OR EXTENSION OF LEAVE OR

COMMUTATION OF LEAVE

Signature of the Government servant……………………………………………..

I,………………………….after careful personal examinations of the case


hereby certify that Shri/Shrimati/Kumari……………………………..whose
signature is given above, is suffering from…………………………and I
consider that a period of absence from duty of …………………..with effect
from ……………..is absolutely necessary for the restoration of his/her
health.

Authority Medical Attendant


…………….Hospital/Dispensary
or other Registered Medical
Practitioner

MEDICAL CERTIFICATE OF FITNESS TO RETURN

Signature of the Government servant……………………………………………..

We, the members of Medical Board

I, …………………………. Civil Surgeon/Staff Surgeon,


Authority Medical Attendant, of……………..
Registered Medical Practitioner

do hereby certify that we/I have carefully examined Shri/Shrimati/


Kumari……………………………….whose signature is given above, and find
that he/she recovered from his/her illness and is now fit to resume
duties in Government service. We/I/also certify that before arriving at
this decision, we/I have examined the original medical certificate (S) and
statement(S) of the case (or certify copies thereof) on which leave was
granted or extended and have taken these into consideration in arriving
at our/my decision.

Civil Surgeon/Staff Surgeon,


Authority Medical Attendant,
Registered Medical Practitioner
Dated………………

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