An English hospital letter or certificate typically includes the following elements:

1. Hospital Letterhead: This usually contains the name, address, and contact information of the hospital.

2. Date: The date on which the letter was written.

3. Patient Information: The full name, date of birth, and other identifying details of the patient.

4. Physician Information: The name, title, and signature of the doctor or physician issuing the letter.

5. Medical Information: A brief description of the patient's condition, diagnosis, treatment, and any relevant medical history.

6. Purpose of the Letter: The reason for the letter, such as confirming a patient's illness, providing a sick note for work or school, or giving clearance for travel.

7. Contact Information: Details of who to contact at the hospital for further information if needed.

Here is a sample template for an English hospital certificate:

[Hospital Letterhead]

[Date]