🏥 Clinic Details

👤 Client Details

🥗 Nutrition Assessment

✅ Result

👨‍⚕️ Nutritionist Details

NUTRITION FITNESS
🥗

NUTRI CARE WELLNESS CENTRE

Diet & Nutrition Clinic
12, MG Road, Bangalore - 560001 | Ph: +91 80 4567 8901

Nutrition Fitness Certificate

Cert. No: DN001  |  Date: 25 Aug 2026

Client Name
________________
Age / Gender
__ / Male
Height
175 cm
Weight
72 kg
⚖️
Body Mass Index (BMI)
23.5
Normal Weight
Prescribed Diet Plan
Diet Type
Balanced Diet
Calories
2200 kcal
Protein
120g
Carbs
250g
Remarks: Nutritionally fit, balanced diet recommended
Nutritional Status
NUTRITIONALLY FIT
Valid until: -
Client Signature
NUTRI
FIT ✓
Dt. Priya Sharma
Dt. Priya Sharma
M.Sc. Food & Nutrition, RD
Reg: RD-12345/2020