Request Letter Format for issuance of Medical Certificate

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…