1. To whomsoever it may concern ~
I certify that I have examined Mr./Ms en Dp~Y' cd::::,-) N .f' .
aged 59 '116 . . He/she has no mental and physical disease and is fit to work.
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Place: --~~~~~~----
Date:
Complete Name of the Medical officer:
--~~~~----------~--~---=~------
Si nature of the Medical Officer with seal
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