FORM - 5 Medical Certificate of Fitness to Return to duty Signature of Government Servant I.....................do hereby certify that I have carefully examined Sri / Smti / Kumari ................ whose signature is given above and find that he/she recovered from his/her illness and is now fit to resume duties in Government Service. I also certify that before arriving at this decision, I have examined the original medical certificate and statement of the case (or certified copies thereof) on which leave was granted or extended and have taken into consideration in arriving at my decision. Date.......... Authorised Medical Attendant.