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Medical

This document contains a medical certificate template for assessing candidates' fitness for admission to various courses. It lists general expectations for good physique including minimum chest measurement, normal vision and hearing. It also provides a format for doctors to record candidates' personal details, medical history, physical examination findings and certification of fitness. Doctors must indicate if candidates are fit, unfit or temporarily unfit for admission based on their assessment.

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Johny Hansome
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248 views1 page

Medical

This document contains a medical certificate template for assessing candidates' fitness for admission to various courses. It lists general expectations for good physique including minimum chest measurement, normal vision and hearing. It also provides a format for doctors to record candidates' personal details, medical history, physical examination findings and certification of fitness. Doctors must indicate if candidates are fit, unfit or temporarily unfit for admission based on their assessment.

Uploaded by

Johny Hansome
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Annexure 7

MEDICAL CERTIFICATE
(to be issued by a Registered Medical Practitioner)

GENERAL EXPECTATIONS
Candidates should have good general physique. In particular,
• Chest measurement should not be less than 70 cm, with satisfactory limits of expansion and contraction.
• Vision should be normal. In case of defective vision, it should be corrected to 6/9 in both eyes or 6/6 in the better eye. Colour blind
and uni-ocular (having vision in only one eye) persons are restricted from admission to certain courses.
• Hearing should be normal. Defective hearing should be corrected.
• Heart and lungs should not have any abnormality and there should be no history of mental illness and epileptic fits.

1 Name of the candidate: Gender:

2 Identification Mark (a mole, scar or birthmark), if any

3 Major illness/operation, if any (specify nature of illness/operation)

4 Height in cm: Weight in kg: Blood Group:

5 Past History (a) Mental illness


(b) Epileptic Fit

6 Chest (a) Inspiration in cm (b) Expiration in cm

7 Hearing

8 Vision with or without Right Eye Left Eye Colour Blindness Uniocular vision (having
glasses: vision in only one eye)

9 Respiratory System

10 Nervous System

11 Heart (a) Sounds (b) Murmur

12 Abdomen Hernia Hydrocele


(a) Liver
(b) Spleen

Any other defects:

Certificate of Medical Fitness


The candidate fulfils the prescribed standard physical fitness, medical fitness and is FIT for admission to
Engineering/Architecture/ Pharmaceutics/ Science Course
The candidate does not fulfil the prescribed standard of physical fitness/medical fitness and is
unfit/temporarily unfit for admission due to following defects:

Name of the Doctor Regn. No Signature with date


Seal

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