Request Letter Format for the issuance of Medical Certificate
[Below briefly focus on sample Request Letter Format for the issuance of Medical Certificate. You can follow these sample application letter for issuance of a medical certificate from a doctor, institute, medical center, hospital etc. You can modify these sample as your requirement.]
Date…
To, Hospital Authority…
Administration office…
Hospital name…
Sub: Application for issuance of Medical Certificate
Dear (Sir/Name),
I am (Your Name), your patient of eyesight (the type of disease) for a few months. As you suggested the rest of two weeks (More/less) whenever I start medicine. (Describe in your own words). Please note I am a working lady and doing a job as an administrator (Job type) in a multinational company. For leave of one week, my company requires a doctor’s recommendation letter or certificate for having rest. (Explain the actual cause and situation).
I request you to please issue me a medical certificate/letter which can help me to get a leave of one week from the company. (Cordially describe your requirements).
Warm Regards,
Your name…
Address…
Contact Information…
Another format,
Date…
To, Hospital Authority…
Administration office…
Hospital name…
Sub: Request for the Issuance of Medical Certificate
Dear Sir,
It is submitted that I am working as a computer operator (Job designation) in (Company/Institute name). (Describe in your own words). Sir, for an official purpose I need a medical fitness certificate as I have to apply for a training session in abroad. (Explain the actual cause and situation). The receipt number of the medical report which I had obtained was (Mark). (Cordially describe your requirements).
The further details with respect to my medical reports are written below.
- Name: Mr./Mrs. XYX
- Father Name: Mr. ABC
- Age: (**) Years
- Blood Sample Number: (**)
Warm Regards,
Your name…
Address…
Contact Information…
