How to Get Medical Leave Certificate in Goa?

Name of the Organization : Government of Goa (goa.gov.in)
Type of Facility : How to Get Medical Leave Certificate in Goa?
Location : Bardez

Website : https://www.goa.gov.in/

Medical Leave Certificate Format :

Medical Certificate For Leave Or Extension Of Leave Or Commutation Leave

Signature of the Government Servant :…………………………………………..

I ………………………………………………………………………………
Personal examination of the case hereby certify that Shri /Smt./ Kum …… ……………………….. whose signature is given above is suffering from….. …………………………………. and I consider that a period of absence from duty of ……………… with effect from ………………………………. is absolutely necessary for the restoration of his/her health.

Authorised Medical Attendant
Hospital/Dispensary of other Registered
Medical Practitioner

Dated :-

Medical Certificate For Of Fitness To Return To Duty

Signature of the Government Servant :…………………………………………..

I ………………………………………………………………………………

Attendant /Registered Medical Practitioner of ……………………………………………. do hereby certify that I/ We have carefully examined Shri /Smt. /Kum ……………………..whose signature is given above, find that he /she recovered from his/her illness and in now fit to resume duties in Government service. We /I also certify that before arriving at this decision, we /I examined the original medical certificate and statement of the case of certified copies thereon on which leave was granted or extended and have taken into consideration in arriving at our /my decision.

Authorised Medical Attendant
Registered Medical Practitioner

Dated :-

Download Form Here :
https://www.indianjobtalks.in/uploads/13137-MedicalFitnessCerti.pdf