Medical Certificate Format
चिकित्सा प्रमाण पत्र प्रारूप
A blank layout that a registered medical practitioner can complete to certify a patient's condition and advised rest. It is left unfilled so only the practitioner supplies the medical details.
Download Medical Certificate Format
What the medical certificate format is used for
Use it to capture certificate no., date, patient name, age / gender, rest advised from, rest advised to in one standard format. Only a qualified medical practitioner may complete the medical statements, signature, registration number and stamp.
Who should use it
- Employees and students who need to apply for health-related leave
- HR and school offices who record such leave
- Qualified medical practitioners completing their own sections
Key features
- 3 labelled field groups covering Certificate No., Date, Patient Name, Age / Gender and more.
- Pre-written wording with blanks, available in both English and Hindi.
- Clean A4 portrait layout designed to print on a standard office printer.
- Contains a medical-use disclaimer and blank sections for any medical details.
Frequently asked questions
What details does the Medical Certificate Format include?
It includes Certificate No., Date, Patient Name, Age / Gender, Rest Advised From, Rest Advised To, laid out so the form can be filled by hand or typed.
Can I edit the Medical Certificate Format before printing?
Yes. Download the Word (.docx) version, add your name, logo or extra fields and then print or save it as PDF. The PDF is best when you only need to print and write by hand.
Is the Medical Certificate Format available in Hindi?
Yes. Both an English and a Hindi version are provided in PDF, DOCX format where listed on this page.
Is the Medical Certificate Format an official medical document?
No. It is a general template for drafting or record-keeping. It does not certify that anyone is ill or fit, and any medical statement, signature, registration number and stamp must come from a qualified, authorised medical practitioner. Always give truthful information.
Last updated: 11 October 2026