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    Physical Fitness Certificate

    Uploaded by

    Vijendra R
    1. This document is a physical fitness certificate issued by a registered medical practitioner. It collects personal information about an individual such as name, age, sex, identification marks, and medical history. 2. The medical officer conducts an examination and records measurements of height, weight, and vital signs. They evaluate the respiratory, nervous, cardiovascular and gastrointestinal systems and check for any defects or illnesses. 3. The medical officer certifies that the individual, based on the examination, is in sound physical health and fit to pursue higher studies. Both the medical officer and examined individual sign the certificate.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Physical Fitness Certificate

    Uploaded by

    Vijendra R
    1K views1 page
    1. This document is a physical fitness certificate issued by a registered medical practitioner. It collects personal information about an individual such as name, age, sex, identification marks, and medical history. 2. The medical officer conducts an examination and records measurements of height, weight, and vital signs. They evaluate the respiratory, nervous, cardiovascular and gastrointestinal systems and check for any defects or illnesses. 3. The medical officer certifies that the individual, based on the examination, is in sound physical health and fit to pursue higher studies. Both the medical officer and examined individual sign the certificate.

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    Physical Fitness Certificate Template

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    1. This document is a physical fitness certificate issued by a registered medical practitioner. It collects personal information about an individual such as name, age, sex, identification marks, and medical history. 2. The medical officer conducts an examination and records measurements of height, weight, and vital signs. They evaluate the respiratory, nervous, cardiovascular and gastrointestinal systems and check for any defects or illnesses. 3. The medical officer certifies that the individual, based on the examination, is in sound physical health and fit to pursue higher studies. Both the medical officer and examined individual sign the certificate.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views1 page

    Physical Fitness Certificate

    Uploaded by

    Vijendra R
    1. This document is a physical fitness certificate issued by a registered medical practitioner. It collects personal information about an individual such as name, age, sex, identification marks, and medical history. 2. The medical officer conducts an examination and records measurements of height, weight, and vital signs. They evaluate the respiratory, nervous, cardiovascular and gastrointestinal systems and check for any defects or illnesses. 3. The medical officer certifies that the individual, based on the examination, is in sound physical health and fit to pursue higher studies. Both the medical officer and examined individual sign the certificate.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    PHYSICAL FITNESS CERTIFICATE

    (To be issued by a Registered Medical Practitioner)


    PERSONAL HISTORY
    1. Name ..............................................................................................
    2. Parent/ Guardians Name......................................................................
    3. Age ...............................Years .................................... Months
    4. Sex............................
    5. Identification Mark on the Body, if any .......................................................................
    (This can be a mole, scar or birthmark)
    6. Major illness/ surgery, if any .............................................................
    (Specify nature of illness/ surgery)

    CERTIFICATE
    (The following are to be filled by the Medical Officer conducting the medical examination)

    1. Height ....................cm 2. Weight ............. kg


    3. Past History 4. Chest
    a) Mental Disease ..................... a) Inspiration .........cm
    b) Epileptic Fit ......... b) Expiration ..........cm
    5. Blood Group ............................. 6. Hearing...................
    7. Vision with or without glasses
    a) Right Eye.................................. b) Left Eye..................
    c) Colour Blindness ........................ d) Uniocular Vision .........
    8. Respiratory system ..................... 9. Nervous system .........
    10. Heart 11. Abdomen
    a) Sounds............................... a) Liver....................
    b) Murmur .................. b) Spleen .................
    12. a) Hernia ............................
    b) Hydrocele ........................
    13. Any other defects................................................................................

    Certified that................................................................................................
    Son/daughter of ..........................................................................................
    is in sound physical health to pursue his/her higher studies.

    Signature of the Medical Officer Signature of the Candidate

    Date..........................................
    Full Name....................................
    Medical/Registration No. and Official Seal ............

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