Medical Certificate Format for NIT Surathkal

Give here format for Medical Certificate , which is required at the time of admission at National Institute of Technology (NIT) Surathkal?

[Shaleen]

As you want I am here giving you format for Medical Certificate of National Institute of Technology (NIT) Surathkal.

Medical Certificate format
Name (In Block Letters)

Parent / Guardian Name

Sex Male / Female

Blood Group (Optional)

Height

Weight

Chest: Exp

Insp

Heart

Lungs .

Vision

Hearing

Hernia / Hydrocele / Varicocele/ Piles, etc:

Any Other Disease Diagnosed in the Past:

Allergies, if any .

Personal Marks of Identification:



Address:
National Institute of Technology Karnataka
NH 66, Srinivas Nagar, Surathkal
Mangaluru, Karnataka 575025