To,

The C. M. O.,
________, _____

Sub: Application for Issuing Post Mortem Report dated _____ of _____ son of _____, Resident of _____, District _____ to the applicant.

Sir, 

 The applicant submits as under:-

1. That _____ met with _____ on _____near _____, _____and _____. The Post Mortem Report of the said _____ was conducted at _____ Hospital/Laboratory, _____

2. That the applicant requires the Post Mortem Report of the ____.

It is, therefore, prayed that the Post Mortem Report may kindly be released to the applicant

Dated:________     

Applicant
______ S/o _____ R/o ______