Get Essential Certificate Pdf

This guide provides you with clear instructions on how to effectively complete the Essential Certificate Pdf online. Each section of the form is explained to ensure that you can accurately fill it out with confidence.

Follow the steps to fill out the Essential Certificate Pdf online

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering the full name of the person for whom the certificate is being issued in the designated field labeled 'Certified that Shri/Smt ________________________________________________________'.
3. In the next section, specify the relation of the individual by entering 'Son/Daughter of Shri/Smt _____________________________________________________'.
4. Input the insurance number in the field titled 'Insurance No. ___________________ of M/s ______________________________________'. This number is crucial for identification and processing.
5. Indicate the institution where the treatment occurred by selecting one of the options listed, such as 'E. S. I. Dispensary', 'Civil Hospital Shillong', etc.
6. Clearly state the medical condition or reason for treatment in the line designated 'on account of _______________________________________________________________'.
7. Fill in the dates of treatment in the format 'from _____________ to _____________'. Ensure these dates are accurate to reflect the duration of care.
8. List the necessary medications in the section titled 'Name of Medicines', ensuring that each medication is clearly stated.
9. Beneath each medication, indicate the quantity required in the corresponding field.
10. Next, provide the price for each medicine in the 'Price' field allocated next to the corresponding medication.
11. Finally, affix the signature and seal of the medical officer, confirming the information provided is accurate and complete.
12. Once all required fields are filled, ensure to save your changes, then download or print the form for your records, or share it as needed.

Complete your Essential Certificate Pdf online today.