Application Format: Issue Medical Certificate

Application Format: Issue Medical Certificate


Doctor Name/Professor name/Higher Authority….

Clinic/Hospital/Institute name….


Subject: Application to Issue Medical Certificate

Respected Sir,

It is stated that I am (Name….). I am getting treatment in your (Clinic/Hospital/Institute name….) since last week. I am patient of bronchitis (disease name…) and had a severe attack of the disease and I am admitted in the (Clinic/Hospital/Institute name) since a week. I am School/College/University student and as now I have recovered I want to join back school/college. Doctor has also discharged me.

Sir, I remained absent from school/college/University in the tenure from (date to date…). Kindly, issue my medical certificate, showing that I was getting treatment here as it is greatest demand and requirement of administration in my college. I shall be grateful to you.

Yours Truly,


Contact no….