To,
The Manager,
_________ (Name of the Hospital)
_________ (Address)

Date: __/__/____ (Date)

Subject: Application for the room transfer

Respected Sir/Madam,

With due respect, I am writing this letter on behalf of the patient _________ (Name of the Patient) holding patient number _________ (Patient number) in room number _________(Mention room number).

I request you to kindly transfer the patient to some other room due to _________ (Mention reason- Water leakage/ broken bed/ door lock is broken/ unhygienic atmosphere in the room/ no proper sunlight/ unpleasant smell in the room, any other reason). This can affect the health of the patient. Therefore, I humbly request you to provide him/her with another room. If there are any extra charges, we are ready to pay the required amount.

I hope you will take this into consideration and do the needful as the earliest.

Yours Sincerely/Faithfully,

_________ (Your Name),
_________ (Contact Details)

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