US President Donald Trump is in “excellent health,” according to the White House physician.

Axar.az reports, citing NBC News, that the assessment was released after Trump’s visit to Walter Reed National Military Medical Center — his third in-person medical checkup in 13 months.

“He is fully fit to carry out all duties of the Commander-in-Chief,” Dr. Sean Barbabella, the president’s physician, wrote in the memo.

The memo said that Trump took a series of exams, testing cardiac function, eye health and pulmonary function, among other areas. The results were largely normal, with Barbabella noting “slight lower leg swelling,” and bruising on the hand “consistent with minor soft tissue irritation related to frequent handshaking in the setting of aspirin use for cardiovascular prevention.”