The Hospital Manager,
___________ (Name of the Hospital),
___________ (Address)

Date: __/__/____ (Date)

Subject: Request for copy of bill

Respected Sir/ Madam,

I would like to state that I got admitted in your hospital on __/__/____ (Date) for _______ (treatment name) treatment and got discharged on __/__/____ (Date). The bill was successfully paid amounting _________ (amount). My patient ID is __________ (Patient ID).

I am writing this letter to inform you that the original bill /invoice that I received has been lost and I request you to kindly issue a copy of the invoice/ bill. I need this document for ___________ (Insurance claim/ reimbursement/maintaining personal records/ any other).

Therefore, I request you to kindly re-issue the bill. I shall be highly obliged for your kind support.

Thanking You,

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

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