Dr. ___________ (Doctor Name),
___________ (Hospital Name),
Subject: Request letter for issuance of a medical certificate.
Respected Sir / Madam,
I, ____________ (Your Name) having Patient ID ____________ (Your Patient ID) got admitted in your ____________ (hospital / clinic) on ____________ (Date) as I met with an accident and got ____________ (fractured) in my ____________ (hand/leg) and a little injury on my ____________ (Mention if applicable). I am very thankful to you for providing me with the treatment. I am almost recovered from the injuries and hope to get recovered from ___________ (fracture) too. I was unable to attend my ____________ (College / School / Office) for last ____________ (number of days).
Now, my ____________ (School / Management / Department) is asking to submit a Medical Certificate issued by you.
Hence, Request you to kindly issue medical certificate from dated ____________ (From) to ____________ (date till admitted/ got recovered).
________ (Contact number)
Encl: OPD Bill, Admission Proof
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