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Signature of left hand thumb impression of person Signature of Certifying Surgeon examined. Date: (1) (2) (3) certify that I examined the persons mentioned above on. extend this certificate until (If Certificate is not. Signs and symptoms observed during examination extended, the. period for which the worker is considered unfit for work.
1.Name and designation of the of Medical Officer / Practitioner (Seal) 2. Registration Number of Medical Officer: Signature or thumb impression of the candidate (to be made in presence of the Doctor) Date: Note : -The medical Officer shall affix his signature over the photograph affixed in such a manner that part of his signature is upon the ...
bi 811 (medical report form) - Free download as PDF File (.pdf) or read online for free.
The Informant / Notifier shall apply with duly filled in Birth Reporting form alongwith the Form No.– 1/3 to the local Registrar of Birth and Deaths after 21 days of place occurrence. The Forms should be completely filled up in clear handwriting and signed by the informant.
Download Medical Report Form Bundle. What is Medical Report Form? A Medical Report Form is a critical document in the healthcare industry, designed to record and convey a patient’s medical history, diagnosis, treatment, and prognosis in a structured and standardized format.
Status Report ; Results ; Notices and Orders ; Publication ; A document repository where all types of the documents of the organization can be searched and located in the shortest possible time. ... Content Ownership Directorate of Health Service, Govt. of Assam. Designed & Developed by National Informatics Centre (NIC) Nodal Department
ফরম-2 ড্রাইভ িংলাইসেসের জন্য মমভিসেল োর্টভিফসেট [ভিভি 6(2)(খ) ও7(খ) দ্রষ্টব্য] (মরভজস্টাি েিাক্তার েভরসের্তিে পূরণ হইসি)1| নাম: -----
