Letter to the Doctor Requesting Medical Certificate Due to Accident

To,

Dr. ___________ (Doctor Name),
___________ (Hospital Name),
___________ (Address)

Date:__/__/____ (DD/MM/YYYY)

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).

Yours Truly,
________ (Name)
________ (Contact number)

Encl: OPD Bill, Admission Proof

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