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Certificates

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  • 1. CERTIFICATES IN GENERAL PRACTICE DR. ANAND NIGUDKAR
  • 2. DEFINITION
    • THIS IS THE SIMPLEST FORM OF DOCUMENTARY EVIDENCE & MAY PERTAIN TO SUCH FACTS AS –
    • BIRTH
    • SICKNESS
    • COMPENSATION
    • VACCINATION
    • DEATH
  • 3. LEGAL IMPORTANCE
    • COURT OF LAW
    • I.P.C.- SEC.-197
    • - SEC.- 463
    • I.M.C.
    • CIVIL SUIT FOR COMPENSATION
  • 4. REQUIREMENTS
    • LETTER HEAD
    • RELEVANT INFORMATION
    • TRUE STATEMENTS
    • DATE & TIME OF ISSUING CERTIFICATES
    • IDENTIFICATION MARKS OF PATIENT
    • SIGNATURE & /OR LT. HAND THUMB IMPRESSION
    • CARBON COPY
    • CAN CHARGE EXCEPT DEATH CERT
  • 5. TYPES OF CERTIFICATES
    • BIRTH CERTIFICATE
    • SICKNESS CERTIFICATE
    • FITNESS CERTIFICATE
    • VACCINATION CERTIFICATE
    • CERTIFICATE ON WILL
    • MENTAL FITNESS CERTIFICATE
    • DOMICILLIARY TREATMENT CERT.
    • LIFE CERTIFICATE
  • 6. TYPES OF CERTIFICATES
    • 9. CERTIFYING LT. HAND THUMB
    • IMPRESSION
    • 10. CERT. FOR OPINION IN CASE THE
    • PATIENT IS REFERRED FOR MEDICAL
    • OPINION
    • 11. CERTIFICATE OF INJURY
    • 12. CERT. FOR L.I.C. POLICY
    • 13. CERTIFICATE FOR WITHDRAWING
    • MONEY FROM PROVIDENT FUND
    • 14. DEATH CERIFICATE
  • 7. BIRTH CERTIFICATE
    • RESPONSIBILITY OF DOCTORS/ HOSPITAL
    • INFORMATION IN WRITING FROM FATHER & MOTHER OF THE CHILD WITH THEIR SIGNATURES.
    • OFFENCE IF NOT REGISTERED.
  • 8. SICKNESS CERTIFICATE
    • NO BACKDATED CERTIFICATE
    • PREPARE A CASE PAPER
    • CERTIFY ONLY WHEN UNDER YOUR CARE
    • SHOULD INCLUDE-
    • a. Nature of Illness
    • b. Approximate Period for
    • Treatment
    • IDENTIFICATION MARKS
    • SIGNATURE OR LT. HAND THUMB IMPRESSION OF THE PATIENT
  • 9. SICKNESS CERTIFICATE
    • 7. DOCTOR’S SIGNATURE,DATE & TIME
    • 8. Carbon Copy
    • 9. TREATMENT PERIOD PROPORTIONATE TO THE ILLNESS
  • 10. FORMAT OF SICKNESS CERTIFICATE
    • I, Dr. ------ after careful personal examination, do hereby certify that Mr./Mrs./Ms……………….( whose signature is given below is suffering from -----------
    • and I consider that a period of absence from duty of about -----days/weeks is necessary for the restoration of his/her health with effect from -------.
    • Identification marks-(i) -------
    • (ii)-------
    • Signature of Mr./Mrs./Ms. Signature of Doctor
    • Date- Time-
  • 11. FITNESS CERIFICATE
    • Recovery after Illness
    • Consider the purpose for which fitness is required
    • Pay Attention to COLOUR VISION
    • Identification Marks of the Patient
    • Signature/ Lt. Hand Thumb Impression of the Patient
    • Signature of Doctor with Date & Time
  • 12. FITNESS CERIFICATE
    • Record Your Observation of Medical Examination
    • Keep a Carbon Copy
  • 13. FITNESS CERIFICATE
    • This is to Certify that, I have examined Mr./Mrs./Ms. -----------today, (Whose signature is given below) & find that he/she has recovered from his/ her illness and in my opinion, is physically fit to resume his/ her duties from today/tomorrow i.e.-----
    • Identification marks-(i) -------
    • (ii)-------
    • Signature of Mr./Mrs./Ms. Signature of Doctor
    • Date- Time-
  • 14. VACCINATION CERIFICATE
    • CERTIFY ONLY WHEN YOU HAVE VACCINATED
    • NO FALSE CERTIFICATE
    • MENTION :-
    • Name of Vaccine Administered
    • Name of the Manufacturing Pharma Co.
    • Batch No.
    • Mfg. Date
    • Exp. Date
    • Date & time of Administration
  • 15. VACCINATION CERIFICATE
    • Case Paper
    • Identification Marks of the Person Vaccinated
    • Signature/ Lt. Hand Thumb Impression of the Person Vaccinated
    • Doctor’s Signature with Date & Time
    • Carbon Copy
  • 16. Certificate of Will
    • Examination of the Person
    • Case Paper
    • Records in Diary:-
    • Name of the Person
    • Age
    • Address
    • Place Where the Cert. is Issued
    • Date & Time
    • Case Paper No.
    • Findings in Diary
  • 17. Certificate of Will
    • Preserve the Diary FOREVER
    • Signature of the Person
    • Signature of the Doctor, Date, Time & Seal
  • 18. FORMAT OF THE WILL CERT.
    • This is to Certify that, I have examined Mr./Mrs. --------- today. In my opinion, at the time of the examination he/ she is mentally competent to depose his/her assets and for executing this document.
    • Identification marks-(i) -------
    • (ii)-------
    • Signature of Mr./Mrs./Ms. Signature of Doctor
    • /Lt. Hand Thumb Impression Date- Time-
    • Seal
  • 19. MENTAL FITNESS CERTIFICATE FOR REVOLVER LICENCE
    • This is to Certify that, I have examined Mr./Mrs. --------- today. In my opinion, at the time of the examination he/ she is mentally in a sound condition of health.
    • Identification marks-(i) -------
    • (ii)-------
    • Signature of Mr./Mrs./Ms. Signature of Doctor
    • /Lt. Hand Thumb Impression Date- Time-
    • Seal
  • 20. DOMICILIARY TREATMENT CERTIFICATE
    • EXAMINATION
    • CHECKING & VARIFYING OF DOCUMENTS
    • XEROX COPIES OF THE DOCUMENTS
    • SATISFY ABOUT
    • i. DIAGNOSIS
    • ii. TREATMENT
  • 21. Format of CERTIFICATE
    • This to certify that I have examined Mr./Mrs. -------- today. After going through the records of the investigations, other records & the clinical examination, I am of the opinion Mr./Mrs.------- is suffering from ------- . He/ She needs domiciliary Treatment for this condition.
    • At present, he/she is taking following medicines-------------.
    • Drugs & doses may change as per the condition that time.
    • Identification marks-(i) -------
    • (ii)-------
    • Signature of Mr./Mrs./Ms. Signature of Doctor
    • /Lt. Hand Thumb Impression Date- Time-
  • 22. LIFE CERTIFICATE
    • Why is it required?
    • Examination of the person
    • Carbon Copy
  • 23. FORMAT
    • This to certify that, I have examined Mr. Mrs.-------- today. He/She is alive today on ------- at ----------a.m./p. m.
    • Identification marks-(i) -------
    • (ii)-------
    • Signature of Mr./Mrs./Ms. Signature of Doctor
    • /Lt. Hand Thumb Impression Date- Time-
  • 24. CERTIFYING LT. HAND THUMB IMPRESSION
    • Why is it Required?
    • To Known person only
    • Taken on the Bank’s withdrawal Slip- filled in completely
    • Thumb Impression in Your Presence
    • Record in a Diary
    • FORMAT:
    • Lt. Hand Thumb Impression of Mr./Mrs. ----------is taken in My Presence.
    • Signature of Doctor
    • Date- Time-
    • Seal
  • 25. CERTIFICATE OF MEDICAL OPINION
    • GIVEN IN CASE THE PATIENT IS REFERRED
    • FOR MEDICAL OPINION .
    • Why is it required?
    • Who is expected to do this Medical Examination?
    • Examine the Patient
    • Check reports of the Investigations
    • Check other records
    • Reports- Confidential
    • No Doctor-Patient relationship established
  • 26. FORMAT
    • (1 st Page)
    • To,
    • ------------,
    • Dear Sir,
    • Mr./ Mrs. ------- attended my clinic on-------- at --------a.m./ p.m. for the medical examination & opinion, as per your letter dated -------. His/ Her report is attached here with.
    • Identification marks-(i) -------
    • (ii)-------
    • Signature of Mr./Mrs./Ms. Signature of Doctor
    • /Lt. Hand Thumb Impression Date- Time-
  • 27. FORMAT
    • 2 nd ( Page)
    • Your Report ( Confidential)
    • Refer Textbooks/ Consultants in the field, if in doubt
    • Carbon Copy
  • 28. CERTIFICATE OF INJURY
    • Supreme Court Judgment
    • Record all injuries Sites
    • Type
    • Length etc
    • Do not Omit any injury/ See Back of the patient also
    • Treat – First Aid
    • Record the Treatment Given
    • If asked to give a letter / Cert. mention all injuries
  • 29. CERTIFICATE OF INJURY
    • Identification Marks of the Patient
    • Signature/ Lt. Hand Thumb Impression
    • Case Paper
    • Record- Name address of the person bringing the patient
    • Refer to hospital if required
    • Take signature/ Lt. Hand thumb Impression of the patient on the referral letter
    • Put the Date and Time on the referral Letter
    • If Ref. to the Hospital on Phone :
    • *Record Name of the Person with whom
    • you talked
    • *Time & Date
  • 30. CERTIFICATE FOR L.I.C.POLICY
    • SPECIFIC FORMS – L.I.C.
    • NO DOCTOR-PATIENT RELATIONSHIP
  • 31. CERTIFICATE FOR DRAWING MONEY FROM PROVIDENT FUND
    • Only on Medical Ground
    • Never issue False Certificate
    • Only in Legitimate Cases
    • Mention a Provisional Diagnosis & expected Investigations and approximate cost of Investigations & treatment
    • Identification Marks of the Patient
    • Signature & Lt. Hand thumb impression of the Patient
    • Doctor’s Signature with Date & Time
    • Carbon Copy
  • 32. DEATH CERTIFICATE
    • Examine the person. See the back side of the person
    • Confirm Death
    • Standard Forms supplied by P.M.C.
    • Single Copy
    • Get necessary information from near relative or responsible person in writing
  • 33. DEATH CERTIFICATE
    • The dead person must be under care for at least 14 days prior to the Death.
    • Give the Certificate to near relative or close person & take his signature.
    • Do not Issue D.C. if the Death is due to unnatural case. Inform Police.
    • No Fees
    • Xerox Copy of the Certificate
  • 34. DEATH CERTIFICATE
    • REFUSE D.C. WHEN—
    • M.L.C.
    • Unknown Person
    • Person not under your Care
    • Sudden death in a married lady, within 7 years from the date of her marriage
    • Death due to administration of Injection--- Anaphylaxis
  • 35. THANK YOU

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