Request Application for Medical Certificate Issuance
Doctor name,
Dispensary/Clinic/Hospital name…
Address…..
Subject: Application for Medical Certificate Issuance
Respected Sir/Madam,
This is to request that I am (Patient name…), I had skin allergy (state your disease…) and I was getting treatment by you. I am student and I took leaves from school/College. In order to join back I need my medical certificate.
Kindly, issue me, attached are my prescriptions. I shall be grateful to you.
Sincerely,
Patient name….
Contact no…
Address…..
