Medical Certificate Samples – Real-World Examples

CITY GENERAL HOSPITAL Reg. No: H-MH-2024-04128 | Tel: +91-22-4567-8901 14, Medical Colony, Andheri East, Mumbai – 400069 MEDICAL CERTIFICATE FOR SICK LEAVE To Whomsoever It May Concern, This is to certify that Mr. Rahul Sharma, Age: 32 Years, Gender: Male, residing at 24, Shivaji Nagar, Pune, attended this hospital on 05/04/2026 and was examined by me, Dr. Kavita Patel, MBBS, MD. The patient is diagnosed with Acute Viral Fever with Pharyngitis and is advised complete bed rest, as he is UNFIT FOR DUTY from 05/04/2026 to 09/04/2026 (inclusive). He may resume duties from 10/04/2026 subject to general improvement. This certificate is issued on the request of the patient for official use. Date: 05/04/2026 Dr. Kavita Patel, MBBS MD Reg. No. MCI-2012-MH-48271 [CITY GENERAL HOSPITAL STAMP]

APOLLO WELLNESS CLINIC Reg. No: H-DL-2021-00891 | Tel: +91-11-2345-6789 Sector 12, Dwarka, New Delhi – 110075 MEDICAL FITNESS CERTIFICATE To Whomsoever It May Concern, This is to certify that Ms. Anjali Verma, Age: 26 Years, Gender: Female, has been examined by me on 06/04/2026 at this clinic. Physical Examination Results: Height: 163 cm | Weight: 58 kg | BP: 118/76 mmHg | Vision: 6/6 Based on this examination, I hereby certify that Ms. Anjali Verma is MEDICALLY FIT for the position of Software Engineer at TechCorp India. No significant physical or mental disability was found. No communicable disease detected. Date: 06/04/2026 Dr. Anil Mehta, MBBS DNB Reg. No. MCI-2009-DL-32847 [APOLLO WELLNESS CLINIC STAMP]

SUNSHINE FAMILY CLINIC Dr. Suresh Nambiar, MBBS | Reg. No. MCI-2015-KL-58124 23, Gandhi Road, Kochi – 682001 | Tel: +91-484-234-5678 MEDICAL CERTIFICATE To, The Principal, St. Mary's High School, Kochi This is to certify that Aryan Thomas, Age: 14 Years, Gender: Male, studying in Class IX-B, Roll No. 24, visited this clinic on 07/04/2026. The student has been diagnosed with Chickenpox (Varicella) and is UNFIT TO ATTEND SCHOOL from 07/04/2026 to 18/04/2026. As this is a contagious condition, the student is advised complete isolation during this period. He may resume school from 19/04/2026. This certificate is issued on the request of the parent/guardian. Date: 07/04/2026 Dr. Suresh Nambiar, MBBS [SUNSHINE FAMILY CLINIC STAMP]