: Full name, father’s/husband’s name, and Insurance Number (IP Number) .
: Name, Insurance Number, and Employer’s Code. esic form 7a download pdf exclusive
: A section where the doctor specifies the diagnosis and the period during which the patient must abstain from work. : Full name
: It acts as an application for medical treatment, requiring signatures from both the insured employee and the attending medical officer. esic form 7a download pdf exclusive