To;

Tata Memorial Hospital

Homi Babha Building, Dr Ernest Borges Rd, Parel East, Parel, Mumbai,
Maharashtra 400012.

Subject: Authority letter to collect outstanding amount.

Dear Sir/Madam

I am MD ABUTALHA S/O TAIYAB HUSSAIN whom we had taken to

your hospital for better treatment on 5th of September 2022 but goad has
different plan for him , on the same day he left us due to sudden writing the
letter to provide authorization to (Name of the person) to work as a
representative on my behalf and collect (types of the document) from ( name
of the source). You will find a copy of ( name’s) identification attached with
the letter.

You can use the document for identification of (he/she) after arriving at the
office to collect the documents. The notice will remain valid until the next
written notice.

Thank you in advance for your cooperation.

Sincerely

(Your Name)

(Signature)

(Date)