TNEA Medical Fitness Certificate Download | TNEA மருத்துவ உடற்தகுதி சான்à®±ிதழ் பதிவிறக்கம்
Tamil Nadu Engineering Admissions 2024 (TNEA 2024) is a complete online process includes Registration, Payments, Choice Filling, Allotment and Confirmation and for the TNEA application candidate needs to provide a Medical Fitness Certificate which needs to be issued by Registered Medical Practitioner. (For Students of U.G. & P.G. Admissions). TNEA Application No on it.
Please find the TNEA Counselling medical certificate format and easy download from here
MEDICAL FITNESS CERTIFICATE
Medical Fitness Certificate to be issued by Registered Medical Practitioner
(For Students of U.G. & P.G. Admissions)
TNEA Application No:
Name: ___________________________________; Gender: _________________
Code & College in which admitted: ____________________________;
Date of Birth: ________________
Name of the Course : _______________________________________
Indicate your response by ticking (√) appropriate one
1. Do you have any minor or major complaint? Yes / No If Yes, describe_____________________
2. Are you allergic to any medicine or any others? Yes / No If Yes, describe _____________________ 3. Have you ever had any operation or been advised any operation? Yes / No If Yes, describe _____________________
4. Are you Physically Challenged? Yes / No If Yes, Indicate: Visual / Hearing / Orthopedic
I declare that the above information is true to the best of my knowledge. Signature of the Candidate
I. General Information : Height: ________cms; Weight: ________kgs
II. Insp: _________cms; Exp: ________cms; Resp.Rate: ________/min B.P: _________mm Hg Pulse: ________/min.
III. Blood Group & Rh type : __________________________________________
IV.
V. Personal marks of Identification : 1 ______________________________________________
VI. 2 ______________________________________________
VII. C.V.S. :
VIII. Respiratory System :
IX. G.I.System :
X. C.N.S :
XI. Musculoskeletal System :
XII. Examination of Eyes :
XIII. E.N.T :
XIV. Urinary System :
XV. Remarks :
I do hereby certify that I have examined the above candidate. He / She is fit to join the above mentioned course.
Date:
Place:
REGISTERED MEDICAL OFFICER (Seal with Reg.No.)