Medical Fitness Certificate
चिकित्सा स्वस्थता प्रमाण पत्र
A blank fitness certificate layout for a registered medical practitioner to record an examination outcome. The template contains no pre-filled findings.
Download Medical Fitness Certificate
What the medical fitness certificate is used for
Use it to capture certificate no., date, person examined, age / gender, purpose of certificate, valid up to in one standard format. Only the examining practitioner can state whether a person is fit; the fields remain blank until they complete them.
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
- 4 labelled field groups covering Certificate No., Date, Person Examined, 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 Fitness Certificate include?
It includes Certificate No., Date, Person Examined, Age / Gender, Purpose of Certificate, Valid Up To, laid out so the form can be filled by hand or typed.
Can I edit the Medical Fitness Certificate 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 Fitness Certificate 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 Fitness Certificate 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