Application for Medical Treatment of Government Employee

Medical Superintendent

(Address of Office)

SUBJECT:        REQUEST APPLICATION OF THE OFFICIAL MR. AZIZ AHMAD SUPERINTENDENT (ADMN) UNDER (OFFICE ADDRESS)

                    A request application of the official Mr. Aziz Ahmad Superintendent (Admn) under (office address) for Angioplasty for placement of stent after referment by your hospital as advised by the Assistant Professor (name of the doctor and office address) is being sent to your office for further referment of the official as early as possible please.

DA/

Photo copy.

                         

                                                                                                                       

                                                                                       Signature and Stamp of Officer