Medical Visa
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A Medical certificate/advice from established/ recognised/specialised Hospital/Treatment Centres (As per attached format) in India confirming the dates, place(s) and the duration of the treatment.

Request for Medical Visa


Dear Sir,


…………….. (Patient’s name) has been advised to undergo……… (diagnosis) at (name of the hospital and place) by our Sr. Consultant,……..(Consultant’s name, Department of)…….. (Specialty).


The cost of treatment will be ……….. (cost) and the duration of the treatment will be ……….. (duration).


Passport details are given below for your kind reference.


Name of the Patient ……………

Passport number ………………..

Name of the companion (Attendant) …………

Passport number ……………


We request you to kindly issue visa to him/her and his/her companion (attendant).


Thanking you and looking forward to an early action from your side.



Yours Sincerely,




Authorized Signatory


Telephone number: ………………..

Fax Number:……………………………

Email: ……………….








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