The 69-year-old will be extradited to the International Criminal Tribunal for the former Yugoslavia (ICTY) "as soon as possible," Bruno Vekaric, Serbia's deputy war crimes prosecutor, told the AP news agency.
Tuesday's decision by the Belgrade court, paving the way for Mladic's extradition to face war crimes charges, came shortly after it had received the appeal.
Mladic's lawyers argued he was too ill to travel to the court in the Netherlands, saying he had suffered a number of strokes and had a paralysed arm.
Milos Saljic, representing Mladic, said he was not mentally and physically fit to stand trial and asked for a team of doctors to examine his client.
The former general is charged by the tribunal for atrocities committed by his Serb troops during the 1992-95 Bosnian war, including the notorious Srebrenica massacre where around 8,000 Muslim men and boys were rounded up and killed, and the 44-month long seige of Sarajevo which left an estimated 10,000 people dead
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