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lirnhu err* zrrl are.lt $ttut rritilEDICAL CERTIFICATE FOR NON'GAZETTED OFFICER nECOtrt[tENDED FOR

LEAVE OR EXTENSIOFI oR coiIItIUTATIoN oF LEAVETrrfr TRtD'R, fu fu[rrr s€m lrcgIiqlq iTrftil 16rr6{,1es1y

(Govt. of lndia, Finance aepaiment No. 173 s.B. dated l6th March, I gsl

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1""""""""""""':""""""".... .' after careful examination of the case hereby certify that

"""' rr-'-r .... and consider that a period of absence from duty ol

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Government Medical Attendantor

Begistered Practitioner (No. "......................,,... )

i.r + Irfi *n Efe rm ?ilfr€ qril * frq Effidfr gsur-v*. MEDICAL CERTIFICATE OF FffNESSTO RETUHT,I rO OUrVql+ffi t'arilenSignature of Applicant

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I """' .................., Civil Surgeon ol / Registeredmedicelpraditionerol ......... ............... ....... have carefully do hereby certity that I eiamined

^ ........:...: ..r........... of the recovered from his illness and is now fit !B resume his duties in Government

service. I also certify that before arriving at this decision I have examinqd ths original Medical certificatesand statements of the case (or certified copies thereof) on which leave ,rqg gnani;d or extended and havetaken these into cpnsideration is aniving at my decision. ,

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