Cerificate

 

                      Date :____________

                   This is to certify that  Shri/Ku. ________________________________ the bonafide  students of our Institution.  His/Her conduct is good in this Institution.   His/Her College Roll No. ____________. He/She is studying in B.H.M.S.  1^st. /2^nd /3^rd /4^th  Year during academic session ____________.  

 

                    This is  to certify that ____________________________  son  of _____________________

Residence   of ___________________________________ Age ___________ Sex __________Expired on

________________  Time

Date of Admission : ________________

                                         Date of Death         : ________________

                                                Time of Death       : ________________

                                             Diagnosis              : ________________

                                            Immediate              : ________________

Date : _____________

Time : ____________  

Medical Officer / Incharge

R. N.

 

                           I Certify that the above information furnished by Pandit Jawaharlal Nehru Memorial Institute of

  Homoeopathic Medical Sciences, Badndera Road, Amravati College has been verified by

_____________________________________(name ) University and the same is found correct.

Date :__________________________

Registrar of affiliating University with seal.

Place :_________________________