The Hospital Manager,
___________ (Name of the Hospital),
Date: __/__/____ (Date)
___________ (Name of the patient),
Subject: Concession Request
I wish to inform you that, I am __________ (Name) and I come from ___________ (Address).
I have completed a treatment for ____________ (Name of the treatment) on _________ (Date) in your esteemed hospital. I want to share that I am ___________ (below poverty line/have poor financial status/lost job recently/explain your status). I will not be able to pay the full amount of ___________ (Mention the exact amount).
I request a concession in the bill amount so that I can remit the bill from my savings.
I hope you would consider my request genuine and help me out in this difficult time. I will be grateful and in return, I would even suggest your hospital to my acquaintances.
Yours ____________ (Sincerely/Faithfully),