Latest Sabarimala Medical Certificate Format Download
Find the medical certificate format which needs to shown while you trek to Sabarimala this year (2022) mandala celebration. The Sabarimala medical certificate needs to be signed by the Medical Officer along with their registration number.
COVID 19 results should be performed within 48 Hours prior to obtaining of consultation. The certificate is valid for 48hrs from the date of issue.
CERTIFICATE
OF COVID STATUS and MEDICAL FITNESS FOR SABARIMALA PILGRIMAGE
I Dr ……………………… …………………….(Designation with institution
name ) have examined Mr/Ms/Mrs………………………………………………………… Age (years
………….……………..address with Govt issued Identify card ( Aadhar Card, Election
Card, PAN Card, Driver’s License) ………………………….……………………………………………………… on date
dd/mm/yyyy and found that he/she is COVID Negative as per the test (Antigen/RTPCR/TRUENAT/CBNAT/XPERT)
performed on ………………..(date).
( Copy of
the test should be attached)
He/ she is not having signs/symptoms (Fever, Rhinitis, cough, sore
throat, Breathing difficulty, diarrhea , loss smell/taste, excessive fatigue)
of COVID 19 at the time of examination.
I hereby certify that the aforementioned person is fit for performing
strenuous physical activity including the exhausting pilgrimage to Sabarimala.
Date
Time
Name of the
Medical Officer
Designation
Registration
Number
Seal
NB: The attached COVID 19 results should be performed within 48
Hours prior to obtaining of consultation. The certificate is valid for 48hrs
from the date of issue.
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