10 Sample Doctor Letters for Various Purposes & Various Professions

In various fields of work and activities, a doctor's certificate will generally be required. Sample Doctor's Letter There are various kinds, there are letters explaining the illness of a patient to a health certificate. Health certificate itself is addressed to an agency regarding a person's health condition.

Doctor's letter itself is included in the category of official letter. The purpose of a formal letter means that this letter must use standard and formal writing and spelling. To get a doctor's letter itself is actually not too difficult. All you have to do is go to a doctor, be it a clinic doctor, health center or hospital. Furthermore, the doctor will check your health condition before issuing a doctor's letter.

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The importance of the existence of this doctor's letter makes many people want to know about the example of a doctor's letter. The following is a discussion and various examples of doctor's letters that can be obtained Management Journal inform:

Definition of a Doctor's Certificate

A doctor's certificate is a certificate issued directly by a doctor explaining the health condition of a patient. Certificates from doctors themselves vary, such as examples of doctor's illness letters to health certificates on behalf of a patient. Therefore, a doctor's certificate is not always a sick letter but also a certificate of someone's health

A sick certificate in the name of a person is generally required for the need to request permission for absence from an agency. This letter will generally be requested by students, students, employees who are required to get permission due to physical conditions that are not possible. Meanwhile, health certificates are generally required for the need to participate in certain activities or apply for jobs.

You can get a doctor's certificate from various places that provide health services such as clinics, health centers to hospitals. However, there are several agencies that require a certificate to be issued from a hospital doctor. In this condition, it means that you have to visit the doctor at the hospital in person to ask for a doctor's certificate.

Although in general the certificates from doctors from various agencies are the same, but there will still be differences in some places whether it comes from a health center, clinic or hospital. A doctor's certificate from a clinic or health center is generally simpler. While a doctor's certificate from a hospital is generally more complete, especially for stamps and various kinds.

Example of a sick certificate from a doctor for Employees

The first and most commonly known example of a doctor's letter is a sick certificate from a doctor. If you are a private employee or civil servant in an agency, then of course you are already familiar with this one letter. This letter is arguably an official and legal letter that is needed if you want a work permit due to physical conditions that are not possible.

SARDJITO DOCTOR GENERAL HOSPITAL

Jalan Health Number 1 Selowo, Sinduadi, Kec. Mlati, Sleman Regency, Special Region of Yogyakarta 55281

Tel. (0274) 631190, 587333 Email: humas@sardjitohospital.co.id

Sick letter

The undersigned certify that:

Name : Mayangsari Intan

Place/date of birth: Yogyakarta/21/08/1993

Occupation: Civil Servant

Based on the thorough examination that was carried out today, it was shown that the name mentioned above was in an unwell condition. Therefore, the person concerned needs to rest for 6 days, starting from April 17 to April 22, 2019.

Thus, this doctor's certificate is made to be used properly.

Yogyakarta, April 17, 2019

examining doctor,

  1. Adinda Tisha

Sample Sick Certificate for Students

Not much different from sick certificates for employees, sick certificates for students are also written in a similar format. Even so, there will be slight differences depending on the health facility that issued the letter. The following is an example of a sick letter from a doctor for a student who was discharged from the puskesmas.

HEALTHY HOSPITAL ALWAYS

Jalan Sudirman Said Block B Jakarta-Central

Sick letter

The undersigned certify that:

Name : Sarah

Place/date of birth: Bekasi/21/08/2009

Occupation: Elementary school student

Based on the examination that has been carried out, it shows that the person concerned is in a ILL condition. Therefore, the person concerned needs to rest for 3 days, starting from February 20 to February 22, 2019.

Thus, this doctor's certificate is made to be used properly.

Jakarta, February 20, 2019

examining doctor,

  1. Adinda Tisha

Sample Doctor's Letter Accompanied by Disease Diagnosis

A medical certificate from a doctor sometimes also includes information about the patient's current illness. The following is an example of the letter.

SARDJITO DOCTOR GENERAL HOSPITAL

Jalan Health Number 1 Selowo, Sinduadi, Kec. Mlati, Sleman Regency, Special Region of Yogyakarta 55281

Tel. (0274) 631190, 587333 Email: humas@sardjitohospital.co.id

Medical certificate

The undersigned certify that:

Name : Bambang Sudirwo Tedjo

Place/date of birth: Yogyakarta/21/09/1984

Occupation: Civil Servant

Based on a thorough examination that has been carried out today, it shows that the name mentioned above is in a ILL condition. So the person concerned above needs to be hospitalized for 4 days, starting from August 17 to August 20, 2019.

Disease Diagnosis: Malaria

For this reason, the person concerned above is not able to work or attend as he should.

Thus, this doctor's certificate is made to be known and used properly.

Yogyakarta, 17 August 2019

examining doctor,

  1. Bambang Widjoyanto

Sample Doctor's Letter from health center

As previously explained, a doctor's letter, apart from coming from the hospital, can also come from the puskesmas. If the pain is not too severe and if it can still be treated at the puskesmas, then there is nothing wrong if you go to the nearest puskesmas in your place of residence for treatment.

After checking the condition of the disease, Ada only had to ask for a sick certificate from the health center doctor. The following is an example of a letter from a health center doctor.

Sleman Regency Government

public health Office

UPT PUSKESMAS SINDUADI DISTRICT

Address : Jalan Cemara Merah Number 10, Sinduadi District, Mlati, Sleman Regency, Yogyakarta 55284

Phone (0274) 632986, 586222

SICK LETTER

No : 103/SKD/April/2019

The undersigned certify that:

Name : Ilyas Sanjaya

Place/date of birth: Sleman/06/08/1990

Age: 29 years old

Occupation: Private employee

Based on a thorough examination that has been carried out, it shows that the person concerned is in a state of illness. Therefore, the person concerned needs to rest for 3 (three) days, which is from 01 to 03 May 2019.

Thus, this doctor's certificate is made to be known and used properly.

Sleman, 01 May 2019

Doctor who examines

  1. Anita Dyah Ayu

Example of a Health Certificate from a Doctor

In addition to providing a sick certificate, doctors can also issue a health certificate for someone. This letter explaining that the person concerned is in good health is generally used for several purposes. Generally, the need to apply for a job will require a health certificate issued directly from the doctor. Here's an example.

HEALTHY HOSPITAL ALWAYS

Jalan Sudirman Said Block B Jakarta-Central

Letter Number : XX

Subject: Health Certificate

Attachment : -

We as the Health Hospital always, the undersigned, certify that the relatives whose names are below:

Name : Ilyas Sanjaya

Male gender

Place/date of birth: Jakarta/06/08/1995

Age: 23 years old

Occupation: Student

After conducting a series of medical tests including seeing the results of the relevant Urine laboratory test, we declare that the brother mentioned above is in a condition free from substances harmful to the body and free from disease. For that, the brother mentioned above is declared in a HEALTHY state.

Thus, we issue this health certificate based on the results of the previous health test.

Jakarta, January 2, 2019

Knowing,

Examining Doctor

  1. Anita Dyah Ayu

Example of a Doctor's Letter from a Clinic

In addition to a doctor's certificate issued from a hospital or puskesmas institution, you can also request a certificate from a doctor at an officially registered clinic in your city. The following is example of a doctor's letter which are generally excluded.

CHILD AND MOTHER CLINIC

Jalan Professor Bambang Ismoyo Number 23, Magetan

Phone: (0281) 662831, 555661

MEDICAL CERTIFICATE

Number: 010/K-LD/SK/V/2019

The one who explains and signs below, as the Head Doctor of the Children's and Mother's Clinic, explains that:

Name : Hanif Sutomo

Male gender

Place/date of birth: Magetan/20/08/1995

Age: 23 years old

Occupation: Student

Based on the results of the examination carried out by the Doctors of the Children's and Mother's Clinics, it shows that the relative above is in an unhealthy condition and requires a break for 4 (four) days, starting from September 20 to September 23, 2019.

Thus, this doctor's certificate is made to be known and used properly.

Magetan, September 20, 2019

Knowing,

Head Doctor of Children's and Mother's Clinic

  1. Wahyu Ahmad Putera

Sample Certificate from a Doctor to Apply for a Job

If you need a doctor's certificate to apply for a job, then you must submit a health certificate from the doctor you choose. A health certificate is indeed one type of document that is widely required for the need to apply for a job.

You can get a health certificate from a clinic doctor, health center or hospital. However, you should first make sure the requirements of the company you are applying for are asking for a health certificate from a particular hospital or free. The following is an example of a doctor's letter for health information obtained from the Puskesmas.

Tasikmalaya Regency Government

public health Office

UPT PUSKESMAS DTP JAMANIS

Address : Jalan Raya Jamanis Number 10, Tasikmalaya Regency, Central Java

Call 8675321

CERTIFICATE OF HEALTH

No : 122/SKD/July/2019

The undersigned certify that:

Name : Muhammad Faisal

Place/date of birth : Tasikmalaya/06/09/1995

Age: 23 years old

Work : -

Based on the thorough examination that has been carried out, the following health results were obtained:

Height: 170 cm

Weight: 65 kg

Blood pressure: 120/80 mmHg

The results of the examination show that the person concerned above is in a HEALTHY state.

Thus this doctor's certificate was made for the purposes of Apply for job for the person concerned.

Tasikmalaya, 01 July 2019

Doctor who examines

  1. Anita Dyah Ayu

Sample Certificate from Doctor to Participate in Extracurricular Activities

Extracurricular activities, especially competition activities, will generally require students to submit a health certificate from a doctor. This health certificate is needed so that the organizers of competitions or extracurricular activities know the health conditions of the participants. This will determine the treatment given to participants.

Therefore, you should visit the nearest doctor in your home for a health check and ask for a health certificate from the doctor concerned. The following is an example of a letter given by a doctor from a hospital.

SARDJITO DOCTOR GENERAL HOSPITAL

Jalan Health Number 1 Selowo, Sinduadi, Kec. Mlati, Sleman Regency, Special Region of Yogyakarta 55281

Tel. (0274) 631190, 587333 Email: humas@sardjitohospital.co.id

Certificate of health

The undersigned, General Hospital Doctor Sardjito explains that:

Name : Mayangsari Intan Dwi Puspita

Place/date of birth: Bantul/21/10/2005

Occupation: Middle school student

Female gender

Age: 14 years old

The results of the health test concerned,

Height: 155 cm

Weight: 50 kg

A blood type

Color blind: No

Blood pressure: 120/80 mmHg

Has undergone a thorough and thorough examination so that it is stated:

HEALTHY

This health certificate itself is used for the purposes of participating in the relevant extracurricular activities at school.

Thus, this doctor's certificate is made to be used properly.

Yogyakarta, April 17, 2019

examining doctor,

  1. Adinda Tisha

Example of a Blank Doctor's Certificate

After you see some examples of certificates from doctors above, you can conclude some important points that must be in the letter. Even so, agencies administering health facilities such as hospitals, clinics and puskesmas are actually free to provide additional information that is deemed necessary in a doctor's certificate.

If you need the general format of a doctor's certificate, here is an example of a blank doctor's letter that is commonly used. However, each health facility may use a different format.

NAME OF HOSPITAL

Complete address:

Phone number or hospital contact

CERTIFICATE OF HEALTH

The undersigned certify that:

Name : (Fill in the full name of the health check)

Gender : Female / Male

Date of birth :

Age :

Address: (full address concerned)

Work :

The results of the health test concerned,

Height :

Weight :

Blood group :

Color blind :

Blood pressure :

Based on a thorough medical examination and test that has been carried out, it shows that the person concerned is stated above:

HEALTHY

This health certificate itself is used for purposes (to be filled in according to the relevant needs).

Thus, this doctor's certificate is made to be used properly.

(Name of city and date of letter)

examining doctor,

(Doctor's name and signature and stamp)


Sample Certificate of Doctor Undergoing Hospitalization

If you are hospitalized in a hospital or other health facility, then you can also ask for a doctor's certificate to be issued explaining that you must be hospitalized. Examples are below.

JOGJA HOSPITAL HEALTHY TOGETHER

Address : Jalan Cemara Merah Number 10, Sinduadi District, Mlati, Sleman Regency, Yogyakarta 55284

Phone (0274) 632986, 586222

SICK LETTER

No : 103/SKD/April/2019

The undersigned certify that:

Name : Hanif Ilyas Muhammad

Place/date of birth: Sleman/26/07/1990

Age: 29 years old

Occupation: Private employee

Based on a thorough examination that has been carried out, it shows that the person concerned is in a state of illness. Therefore, the person concerned needs to undergo inpatient treatment at the Jogja Sehat Bersama Hospital for 4 (four) days, which is from 01 to 04 April 2019

Thus, this doctor's certificate is made to be known and used properly.

Sleman, 01 April 2019

Doctor who examines

  1. Muhammad Fathur

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