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Air Travel Fitness Certificate (W)

The document is an Air Travel Fitness Certificate issued by the Government of Pakistan's Airport Health Establishment. It includes personal information of the passenger, medical examination findings, and fitness status for travel, particularly for pregnant women. The certificate must be presented at check-in and is issued free of cost.

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Hassan Tahir
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381 views1 page

Air Travel Fitness Certificate (W)

The document is an Air Travel Fitness Certificate issued by the Government of Pakistan's Airport Health Establishment. It includes personal information of the passenger, medical examination findings, and fitness status for travel, particularly for pregnant women. The certificate must be presented at check-in and is issued free of cost.

Uploaded by

Hassan Tahir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Ph:

GOVERNMENT OF PAKISTAN
Airport Health Establishment, Sialkot
DIRECTORATE OF CENTRAL HEALTH ESTABLISHMENT
M/O National Health Services Regulations & Coordination, Islamabad

Sr. No. Date/Time

AIR.TRAVEL FITNESS CERTIFICATE


PERSONAL INFORMATION

Passenger Name Age Sex:

Flight time /Date: Dom/lnt. Destination:

Passport No.

CNIC No. This Medical


Certificate must be
produced at check in

Amenorrhea Gestational Age By U/S Fundal Heigh+ (For pregnant women)

PRESENTNIG COMPLAINT:

Short History:
General physical Condition:

EXAMIBNATION FINDINGS: -
Vitals: Pulse B.P Temp ._ R/R
FURTHER OBSERVATION /ADVICE

Needs Companion during flight


IYES ] I No-l
Contagious / lnfection
[YESI tr--Tt
No--l
FITNESS STATUS FOR TRAVEL;

Additional Medical lnformation /Remarks (lf any):


F] I
uNFrr
I

lssued by(Dr.Name) Signature Airline


Date of lssue: Time of lssue A.M/P.M

(Asstt. Airport Health Officer)


Ai rport Health Department
Note: This certificate is issued free of cost

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