MEDICAL CERTIFICATE

This is to certify that Mr./Ms. S/O, D/O , aged years, residing at

has been diagnosed with Chronic Bronchial Asthma with acute exacerbation (ICD-10: J45.901) and was under my medical supervision and treatment from to .

Clinical Findings:

• Severe respiratory distress with SpO2: 92% on room air
• Bilateral wheeze on auscultation
• Persistent dry cough with nocturnal exacerbation
• Peak flow reading: 250 L/min (60% of predicted)

Treatment Administered:

• Nebulization with Salbutamol + Ipratropium bromide
• Injectable Hydrocortisone
• Oral antibiotics and bronchodilators as prescribed

Given the nature and severity of the condition, the patient requires complete rest and is deemed unfit to attend work/school during the aforementioned period.