Medical Certificate

I Certify that I have carefully examined .................................................................. son /

daughter of ........................................................................... and assume that his/her age is
about ....................................................................... years and that he/she is possessed the
required physical standard as prescribed.

Some of his/her particulars are following as: -

Weight.....................................kg Height................. ft....................inches(.......cm)

Chest Unexpanded..................inches (..........cm) Expanded................ inches (...........cm)
Vision: Left Eye ........................................... Right Eye .................................................
Details of glasses (if worn) ......................................................
Marks of Identification ............................................................
Any Other Remarks: ......................................................................................................................

Signature: ___________________
(Signature of Candidate)
Stamp: ________________________
(In the presence of medical officer)
PM&DC No: ____________________

Note for Candidate: Please presents your medical certificate to the concern University/College at the
time of admission.
Physical and Eyesight Standard for Admission: -

For admission a candidate must be in good mental and physical health and free from any
physical defect. The fitness requirements are given below: -
Chest expansion should not less than 1 inch.
Distant vision 6/9 in one eye and 6/12 in the other with or without glasses. He/She also
must have normal filed and color of vision, muscular balance, night vision and binocular
vision.
The candidate should meet the following standards as well:
Speech is without impediment.
Teeth are in good order. He must have 10 teeth in the upper jaw functionally opposed to 10
sound lower jaw. Two of these in each jaw must be molar. Well-filled teeth will be
considered as sound.
Chest is well-formed and the lungs and heart are sound.
A candidate who has been successfully operated upon is accepted.
Limbs are well-formed and devolved.
There is free and perfect motion of all joints.
Feet and toes are well-formed.
Does not suffer from any skin disease.
Does not have any congenital malformation or defect.
Does not bear traces of any previous acute or chronic disease.

I certify that the candidate ___________________________ meets the prescribed

Medical/Physical standards of the University for admission and at the best of his/her health.

Signature: ___________________
(Signature of Candidate)
Stamp: ________________________
(In the presence of medical officer)
PM&DC No: ____________________