No._________________/DHQ
Dated_______________/2018
MEDICAL FITNESS CERTIFICATE
ON FIRST ENTRY INTO GOVT. SERVICE
(RULES 31 OF ORS PUNJAB)
I hereby certify that I have examined _______________________candidate for employment
in the __________________ department and cannot discover that he/she has any disease
constitutional affection or bodily infirmity expect _______. I do not consider this is a
disqualification for employment in the office of the ___________________________________.
Her age according to her own statement _____________and by appearance about _________ years.
Thumb & Fingers Impression
Thumb
Index
Middle
Ring
Little
I.D Card #
Taken before me on dated
Religion
Profession / Designation
Residence of
Father Name
Date of birth Christian yearly as own by ascertained
MARK OF IDNENTIFICATION
1. _____________________________
2. _____________________________
Medical Superintendent
DHQ Hospital Muzaffargarh
I do hereby declare that I have never been announced unfit for Govt. Employment by any
Medical Board constituted by the Government of Pakistan or any other constituted authority.
Signature_________________
Pathologist
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Surgeon
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Physician
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Eye Specialist
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