DOCTORíS CERTIFICATE

 

 

DATE:                         .

 

I know Mr./Ms._______________________________________________________.

He/She requires to stay in a Sanatorium for rest and recreation (change of air reasons).

I also certify that Mr./Ms._______________________________________________

(And the following person(s) accompanying him/her) does/are not suffering from any contagious/infectious disease(s).

 

Name(s) of applicant(s) Ė

 

  1. _______________________________________________________________

 

  1. _______________________________________________________________

 

  1. _______________________________________________________________

 

  1. _______________________________________________________________

 

  1. _______________________________________________________________

 

 

(Name, Address and Rubber Stamp Of Doctor)

 

 

 

 

__________________________

(Doctorís Signature)       _

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The Rao Bahadur Sheth Curumsey Damjee Arogya Bhuvan Trust is a Public Charitable Trust (Non Profit) registered with the Charity commissioner of Mumbai (Regn. No. A-2039 (BOM)).

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