Letter to Hospital Requesting Medical Records
To, The Manager – Medical Record Department (MRD), ___________ Hospital (Hospital Name), ___________ (Address) Subject: Application for Issuance of Medical Record of Patient _______ (Patient Name), Patient ID – ________ Respected Sir/Madam, This is to inform you that I ________ (Patient Name) got admitted in your hospital on _______ (dated) having patient ID ________ (Patient