Patient Termination Letter Sample

Summary: A patient termination letter is a death certificate of a person who has passed away in a hospital. The letter is given by the hospital mostly. The reason for death is mentioned in the letter always. The doctor or hospital staff sends this letter to the patient family with a regret full note and death certificate. Such a letter can be framed with the help of the below written letter format.
From:
By Regd Post/AD
M/S Swan Hospital
No.866, Denver
Colorado-01
Phone: 5246321
Letter No.662/Death Report/1/MCH
To:
The Office of Municipal Corporation
Ward No.10, Giant Street, Denver
Colorado.
Dear Sir,
Sub: Reporting of Death U/S …. Of IPC.
This is to certify that the patient named Jenny Mendez, D/o Dennis Mendez D/o 52/562 Denver, Colorado-01 passed away in our Hospital on 18th march, 2010 at 15.30 hours due to a cardiac arrest. Situation was out of control and our all efforts to save his previous life gone waste. His problem was at the peak level and body was not adapting the treatment.
Death Certificate of Mr. Jack Sawyer is enclosed herewith for record purposes..
Yours faithfully,
………………………. (Name)
Registrar
Enclosure:
Death Certificate No.662 of 18-3-2010

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