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
