Scribd
Upload
7K views

Medical Certificate

This medical certificate certifies that a doctor examined the patient's blood tests and medical history and found them to be in good health. The doctor confirms the patient is free of HIV, hepatitis A, hepatitis B, hepatitis C, and any serious physical or mental illnesses. The certificate is intended to verify the patient's health and suitability for a scholarship program.

Uploaded by

Arsalan Raisani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
7K views

Medical Certificate

This medical certificate certifies that a doctor examined the patient's blood tests and medical history and found them to be in good health. The doctor confirms the patient is free of HIV, hepatitis A, hepatitis B, hepatitis C, and any serious physical or mental illnesses. The certificate is intended to verify the patient's health and suitability for a scholarship program.

Uploaded by

Arsalan Raisani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

MEDICAL CERTIFICATE

of suitability and fitness for the purpose of Stipendium Hungaricum Scholarship Programme

I the undersigned Doctor in Medicine, (Full name) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Certify that I examined the blood test results and tests of the below patient:

Full Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nationality:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date of Birth:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Place of Birth: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Country of Residence: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I have found him in good general health, and free of:

HIV

Hepatitis A

Hepatitis B

Hepatitis C

Any Serious physical / mental illness

Any other epidemic disease

Comment: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
............................................................................
............................................................................

Date: . . . . . . . . . . . . . . . . . . .����� . . Doctor’s signature and stamp

You might also like