Certificate of Medical Officer/Medical Practitioner for confinement/miscarriage/ Medical termination of pregnancy or tubectomy operation/ delivery of a child

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Full Text of the Document

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....This is to certify that- 1. *I examined.......wife/daughter of ..... a woman employee in...... (Name of the establishment) on...... (Date) and found/cannot discover that she is pregnant and is expected to be delivered of a child within (month and/days) from the above mentioned date or has undergone miscarriage/Medical termination of pregnancy or tubectomy operation/has been delivered of a child....