Format of Medical Fitness Certificate: Nursery Admission Delhi session 2013-14
MEDICAL FITNESS CERTIFICATE
I certify that I have carefully examined Master./Ms.* ______________________.
I certify that I have carefully examined Master./Ms.* _______________ son/daughter of Shri/Smt. ___________________ whose signature is given below.
Based on the clinical examination, I certify that he/she is in normal state of Health and free from any communicable or non communicable disease/illness or physical defects/infirmity which may interfere with his/her schooling including the active outdoor activities.
The immunization status and records are up-to date as per Universal Immunization Programme (UIP)/ IAP Immunization Schedule
Signature of the Parent _____________________________
Name & signature of the Medical Officer
with seal and registration number
* Strike whichever is not applicable..
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