Request Application for Medical Certificate Issuance

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…..