___________ (Receiver’s Name),
___________ (Name of the Hospital),
___________ (Address)

Date: __/__/____ (Date)

Subject: Request for issuance of medical certificate

Respected Sir/ Madam,

I ________ (name) got admitted in your __________ (hospital) on __/__/____ (Date) having patient ID _________ (patient ID).

I got admitted for the treatment of _______ (Treatment) and due to which I was unable to attend _________ (College / School / Office) for _____ (number of days) for which I have to submit a medical certificate in my ________ (College / School / Office).

Therefore, I request you to kindly issue the medical certificate in my name. I shall be highly obliged. For any queries, you may contact me at __________ (Contact Number).

Thanking You,
Yours Faithfully,
_____________ (Signature),
_____________ (Name),
_____________ (Address)

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