To

                    (NAME OF THE COMPETANT AUTHORITY)

                   No.---------------------- dated---------------

SUBEJCT:-  CASUAL LEAVE FOR ONE DAY.

Respected Sir,

                   I have the honour to submit that I am suffering from cardiac problem and I have to see the doctor as such I am feeling a pain in my chest. It is therefore, humbly requested that I may very kindly be allowed casual leave for one day i.e. on 00.00.0000 (date) and further Medical Superintendent ( name of the Hospital) be directed to provide me free medical facilities as per rules and law under intimation to your good office.

                   I shall be highly obliged for this kindness.

                                                                             Yours faithfully

                                                                            

                                                                                (Name)

                                                                             (Designation)