Monday, January 26, 2015

Sample Discharge Certificate


Sample Discharge Certificate

Medical Certificate Format








To be printed on clinic's letterhead pad

Date:.............
Ref No:.........

Discharge Certificate

This is to certify that Mr./Ms./Mrs. ………………………… Son/Daughter of …………………… Age…………… Sex…………….. was under the treatment of Dr. ……………………… in this clinic in bed No:……………… from ………………… to ……………… .

He had been suffering from …………………………………………………………… .


Handwritten Signature
(Name of Signatory)
Designation

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