I had to make an urgent visit during shut down and needed a medical certificate to get my epass. I finally found it.. below is the template..This needs to be filled and stampled by a medical practitioner with MBBS degree..
TO WHOM SO EVER IT MAY CONCERN
CERTIFICATE
This is to certify that Mr/Mrs ……………………………………………………..age……
sex………. He/She has been examined and found to be free from influenza like symptoms(ILI),Severe acute respiratory symptoms (SARI).
This screening does not rule out the possibility of patient being in incubation
period and should be monitored for symptoms for the next 14 days.
He/She is allowed to travel from ………… to……………….. He/She should wear
a mask and follow distancing a precautionary measure.
The person should report to the local health facility and get registered as a suspect
till proven free (14 days) of diseases.
Place :-
Date:- Authorised sign & stamp
