Application Format to Issue Medical Certificate

Application Format to Issue Medical Certificate


Name: XYZ,

(Clinic Name)


Subject: Application to Issue Medical Certificate

Respected Sir/Madam,

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

Sir/Madam, I remained absent from college in the tenure from (Date to Date). Kindly, issue my medical certificate, showing that I was getting treatment here as it is utmost demand and requirement of administration in my college. I shall be thankful to you.

Yours Truly,

Name: ZZZ