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DEPARTMENT OF HEALTH

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Sick leave Certificate
Reference No: RSLC-2024-03243419 : oJ4-!i)I jA_;

Sick Leave Date : 13/11/2024 : ;_,....;._;oi1 ,j4,')'1 t::,_;u

Facility Information ,4.il.JI ,w..,.il .:.�

Facility Name AL AHLI HOSPITAL COMPANY LLC - BRANCH 1 : ,w.w1 ,,... J

Facility No MF3107 : ,Wol...11�_; City: Musaffah :�.wl

Emirate : Abu Dhabi : ,_;\..')'I

Patient's Information U":!yJ1.:.1..,�

Patient's Name : MOHSIN RAZA GHULAM RASOOL : LJ":!yJI ,..... )

DOB: 03/01/1998 : J�I t::,_;u Gender : MALE :�I

Nationality: PAKISTAN :�I Medical File No. : 502260 : _,,.hll �)I

ID No: 784199870863091 :'-:1_,..il.iJ\h,,,j_; Health Insurance Card No. : : <r'""'"I .:,;..Ll I .iJU.,. ,jJ

Work Nature : Construction, Building :J..a-11¥. Employer Type : Private :u.lo_,..Ji�

Material
Place of Work : Dutch Foundations :J..a-11�
Sick Leave's Information ;_,....;._;.-o-11 ,j4,'/I uw\.;/

Diagnosis Acute bronchitis, unspecified �I

Patient's Disposition : Inpatient treatment : �:)WI tY

Date of Admission 13/11/2024 : J.J'l'.lll (';-1_;1.:i Date of Discharge 16/11/2024 : �Jftll t:,_;l:i

Sick Leave From : 13/11/2024 to 18/11/2024 :w-o ;_,....;._;oi1 ij4,')'I Sick Leave Period : 6 Days : ;_,....;._;oi1 oj4,)'I ,.,_.

Physician Remarks : :�lu'.fu.)I..

Status Approved on : 16/11/2024 ;:i.JWI

For Official Use Only .b.! ....-)1 rl.w..?'J

Physician's Name: RAHUL BANSAL SURESH CHAND BANSAL : c,.wWI ....-!

License No: GD36727 : �Ji.11,J_; Physician's Specialty: Internal Medicine :�I�

Physician's Signature :�l&!.iJ

Stamp: : fu-JI

Remarks: : .:.,\h,.)I..
- Any modification will invalidate this certificate. .A.#,'i JiAJ oJ4-!i)I .) J:!.i..:i <,,<I -
- The sick leave compliance with DOH regulations is the physician .�I�� �Ji\ �I ojllJ � �yJI ij4,'il :i.:a;th. '-,UJ_,......
responsibility.

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For the purpose of verification of this certificate or print it, kindly visit the below link
https:!/www.tamm.abudhab!/wb/doh/sick-leave-validatlon