Scribd
Upload
185 views1 page

Medical Certificate

The document is a medical certificate template for candidates seeking admission to various courses, outlining the physical and medical standards required. It specifies criteria such as chest measurement, vision, hearing, and absence of major illnesses. The certificate concludes with a declaration of fitness or unfitness for admission based on the candidate's health assessment by a registered medical practitioner.

Uploaded by

vaibhavsahu0922
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
185 views1 page

Medical Certificate

The document is a medical certificate template for candidates seeking admission to various courses, outlining the physical and medical standards required. It specifies criteria such as chest measurement, vision, hearing, and absence of major illnesses. The certificate concludes with a declaration of fitness or unfitness for admission based on the candidate's health assessment by a registered medical practitioner.

Uploaded by

vaibhavsahu0922
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

(to be issued by a Registered Medical Practitioner)


GENERAL EXPECTATIONS

Candidates should have good general physique. In particular,


limitsof expansion and contraction.
Chest measurement should not be less than 70 cm, with satisfactory
corrected to 6/9 in both eyes or 6/6 in
Vision should be normal. In case of defective vision, it should be
eye)persons are restricted from
the better eye. Colour blind and uniocular(having vision in only one
admission to certain courses.
Hearing should be normal. Defective hearing should be corrected.
should be no history of mental illness and
Heart and lungs should not have any abnormality and there
epileptic fits. VATBHAV KUNAR SAHU
1 a) Name of the candidate: AIBHANSAHU
KUAR Gonderi MALE
jö)
Identification Mark (a mole, scar or birthmark), if any

3 Major illness/operation, if any (specify nature of illness/operation)

4 Height ih cm: Weight in kg: 1ska Blood Group: A+


5 Past Histry (a) Mental illness
(b) EpilepticFit
6
Chest (a)nkpiration in cm (H) Expiration in cm
7 Hearing
Colour Blindness Uniocular vision(having
Visionwith or Right Eye Left Eye vision in only one eye)
without glasses:
9 Respiratoly System
10 Nervous Sstem

11 Heart (a)Sounds (b) Murmur


12 Abdomen Hernia Hydrocele
(a) Liver
(b) Spleen
13 Any other defecs:

Certificate of Medical Fitness


The candidate fulfils the prescribed standard physical fitness, medical fitness and is FIT for
admission to Engineering/Architecture/ Pharmaceutics/ Science Course
The candidate does not fulfil the prescribed standard of physical fitness/medical fitness
and is unfit/temporarily unfit for admission due to following defects:

Name of the Doctor Signature Registration number Seal

You might also like