Neftaly Medical Certificate
Patient Information:
Name: Chauke Nyeleti Lovey
Date of Birth: 18 February 2000
ID/Passport Number: 0002180647089
Medical Certificate for Influenza
This is to certify that the above-named individual was examined at the Neftaly Health Centre and has been diagnosed with Influenza (Flu).
Diagnosis: Influenza (ICD-10 Code: J10-J11)
Symptoms Presented: Fever, cough, sore throat, fatigue, body aches, and/or other related symptoms.
Due to the contagious nature of this illness and the patient’s current health status, it is medically advised that they refrain from work, school, or any strenuous activity for the following period:
Medical Leave Period:
From: [Start Date]
To: [End Date]
(Total Days: [X] days)
The patient may resume normal activities on [Return Date], provided that symptoms have sufficiently resolved and there are no complications.
Additional Notes (if applicable):
- Antiviral medication has been prescribed.
- Patient advised to rest, hydrate, and monitor symptoms.
- Follow-up consultation recommended if symptoms persist beyond 7 days or worsen.
Healthcare Provider Details:
Name: Dr. [Full Name]
Practice Number: [Registration Number]
Contact Number: [Phone Number]
Signature: ______________________
Date: [DD/MM/YYYY]
Stamp: [Clinic/Hospital Stamp Here]
Neftaly Health Services
[Address]
[Phone Number]
[Email/Website]


