Here is a sample medical certificate format for leave regarding health issues

MEDICAL CERTIFICATE

MEDICAL CERTIFICATE FOR GAZETTED OFFICERS IN GOVT SERVICE RECOMMENDED FOR COMMUTATION LEAVE

Signature of the Govt. Servant __________________________________________
I, Dr, __________________________________________ after careful personal examination of the case hereby certify that Sri/Smt ___________________________ of Defence Accounts Department (whose signature is given above) is suffering from _________________________________ and I consider a period of absence from duty of __________days from ___________ to __________ is absolutely necessary for restoration of his/her health with effect from _________________

Station:
Date Medical Officer______________
Designation _______________
Registration No _____________
Address _____