Health Certificate
Health Certificate
Health Certificate
Name in Full : Amit Rayamajhi Sex : Address : Gorkha-05, Gorkha, Nepal Nationality : Nepali
Male
5-Mar-1990 23-12-2012
Visoion Hearing
R L R Normal L Normal
6/6 6/6
Urinalysis
Chest X-ray
Impression
Normal Findings
SUMMARY AND RECOMMENDATION Physically and mentally fit, no communicable disease at present
HOSPITAL STAMP
DOCTOR'S SIGNATURE