Medical Certificate

Death Certificate:

This is to certify that, Mr/Mrs............ , 65 yrs, s/o.... vill:....... po:......... thana......
district.......... was died on .......... at.......... am/pm due to .......

I pray for his departed soul.

(Doctors signature)

Bmdc Reg. No:

seal:

ছুটি মঞ্জুরের জন্য মেডিকেল সার্টিফিকেট/Medical certificate for granting leave:

Signature of the applicant...........

After careful examination of the case hereby I certify that Mr./Mrs.................whose

signature given above is suffering, for I consider that a period of absence from duty/study/job for

days with effect from..........to.............

absolutely necessary for the restoration of his/her health

Place:   

Date:

(Signature of Doctor)

Name of the Doctor:

Registration No:

Seal: 

CERITFICATE OF MEDICAL ETINESS:

Signature of Applicant:

After careful examination of the case hereby I certify that Mr/Mrs....................whose

signature is given above is now fit to resume duty / study/

job from..................I also certify that before arriving at my decision I have examined

the original medical certificate(s) and statement(s) of the case (or the certified copies there of)

on which leave was granted  and have taken these in consideration in arriving at my decision.

Place:

Date:

(Signature of Doctor)

Name of the Doctor

Registration No:

Seal:

To,

Associate/Assistant Professor 

Department of................

........................(Institute Name),............(place)

Dear Colleague, 

I shall be obliged if you kindly examine the following Patient and give your

valuable opinion regarding management 

Patient  Name:

Age:

Sex:

Bed No:

Reg No: 

Presenting complaints :

      1)

      2)

With Thanks 

Dr.............

Assistant /Associate Professor 

Department of........ 

.................(Institute),............ (Place)

Date:

⭕বিদেশ যাওয়া বা কোন চাকরির জন্য Fitness certificate :

🛑অবশ্যই নিচের পরীক্ষা গুলো করাবেন 

➡️ECG

➡️X-ray Chest P/A view

➡️RBS

➡️HBsAg

➡️Blood grouping

➡️VDRL

This is to certify that, Mr/Mrs/Miss.............., X....... years, S/o........ Mr..........yyy, Vill............,

PO.........., thana.........., district........... is physically and mentally fit.

I wish his all success in life.

(Doctor Signature) 

Bmdc reg no:

seal: