Medical Fitness Certificate Format

A medical fitness certificate format for doctors and clinics, with the person's details, examination notes and result, signed with the registration number.

Parties

Doctor or clinic (letterhead)

Add logo

Details

Reference no.

Date

Name of the person examined

Pronoun

Age (years)

Identification mark

Date of examination

Fit for

Result

Examination notes

Doctor's name

Registration no.

Letter text

The text below is written from the details you fill in. Edit it if you want to change the wording.

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A4 · 60%

Dr Kavita Rao, MBBS

Reg. no. MMC 000000 Rao Clinic, FC Road, Pune 411004, +91 20 0000 0000

MEDICAL FITNESS CERTIFICATE

Ref: MFC/2026/318Date: 03 Nov 2026

To whom it may concern

This is to certify that I have personally examined Rohan Desai, aged 26 years, identification mark: Mole on the right forearm, on 3 November 2026.

Examination notes: Height 172 cm, weight 68 kg, blood pressure 118/76 mmHg, pulse 72 per minute, vision 6/6 in both eyes. No abnormality found.

Based on the examination, he is medically fit for joining duty as an Accounts Executive.

Signature of the person examined: ____________________

Dr Kavita Rao, MBBS, Reg. no. MMC 000000

Signature and seal of the registered medical practitioner

Only a registered medical practitioner can issue a medical fitness certificate, after examining the person. This is a format for doctors and clinics.

What is a medical fitness certificate?

A medical fitness certificate is a statement by a registered medical practitioner that they examined a person on a given date and found them fit (or not fit) for a stated purpose, such as joining a job, admission to college or taking part in a sport. Employers and institutions ask for it before joining.

This format is for doctors and clinics. Only a registered medical practitioner who has examined the person can issue a medical fitness certificate. If you need one, take this format to your doctor; never fill in a certificate in a doctor's name.

How to fill in a medical fitness certificate

Add the clinic letterhead: doctor's name and qualification, registration number, clinic address and phone.
Enter the person's name, age and an identification mark.
Enter the date of examination and what the person is being certified fit for.
Write the examination notes, such as height, weight, blood pressure, pulse and vision.
Choose the result: fit, fit with restrictions, or not fit at present.
Sign with the registration number and the clinic seal; the person examined signs too.

Each letter is written for you from the details you fill in. Click "Edit text" to change the wording, or go back to the automatic text at any time. Download a PDF or an editable Word file, or print it on your letterhead. The draft stays in your browser only; nothing is uploaded to our servers.

What the certificate should show

Item	Why
Doctor's name, qualification and registration number	Lets the employer verify the doctor
Person's name, age and identification mark	Ties the certificate to the person examined
Date of examination	Fitness is assessed on that date
Findings	The basis for the opinion
Result and purpose	Fit for what, and any restrictions
Signatures and seal	Of the doctor, and of the person examined

Some employers, colleges and government departments have their own form. Use theirs when they ask for it.

Other letter formats: experience letter, experience certificate, relieving letter, offer letter, leave letter, NOC.

Features

Clinic letterhead with registration number
Age, identification mark and exam date
Examination notes: height, weight, BP, vision
Fit, fit with restrictions or not fit
Signature lines for doctor and person
PDF, Word and print

Frequently asked questions

Who can issue a medical fitness certificate?

A registered medical practitioner who has examined the person, showing their registration number. In India that means a doctor registered with the National Medical Commission or a State Medical Council.

What is included in a medical fitness certificate?

The doctor's details and registration number, the person's name, age and identification mark, the date of examination, the findings, the result and its purpose, and the signatures and seal.

Can I make my own medical fitness certificate?

No. The certificate is only valid when issued and signed by a doctor who examined you. You can take this format to your doctor.

How long is a medical fitness certificate valid?

It reflects the date of examination. Employers and institutions usually accept certificates issued within the last few weeks or months; check what they require.

Is the letter stored anywhere?

Only in your own browser, so you can come back to the draft. Nothing is uploaded to our servers.

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