Request Application for Issue Medical Certificate

Request Application for Issue Medical Certificate

Doctor name/Higher Authority….

Hospital/Clinic/Institute name….


Subject: Request for Issue Medical Certificate

Please be informed that I am (Name of Patient…). I was admitted in this hospital/Clinic/Institute as I met an accident 10 days ago. (Doctor’s Name….) was giving treatment to me and I was prescribed bed rest as I got fracture in my leg (State your causes…). By the grace of God I have recovered now and I am capable to re-join my School/College/University.

Sir, as the basic requirement of school/College/University I need a medical certificate of mine because I remained absent from school/College/University for 10 days. I shall be obliged to you if you issue me the medical certificate as soon as possible otherwise I won’t be able to attend classes.

Thanking You in Anticipation,



Contact no….