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, } vias HOETeS4e- 19000 01604) Y eins dad Gees ecetinnDaine Fea | (s.r O46 qades - od¢n Oil aL engsu opfses MEDICO - LEGAL REPORT (Piegraraic Fors 195A may be wsed rita ris end inert int ts report en weer) easte qos qOace- 20042 Boslaow 09 20) Shree a eeppcuo } Soil No Mee Legel Fern No sox emis Bas} 260 of 20} boat a sn Gandbo00d Mapiroe Cou Dato te yqee corel ease wit Be} . Gurabeifneust } Cae te Poles Staton nf Ean Fa Senses ret Det fT 8. wgm ose i. sim eereninsB e580 Xo IDENTIRCATION se wesc. i : ma = ae —_— 255] a = = srs } 5 se oe} snnmninn OR } wargames ena so Semcaete| a maiggummaviENSDs ONDE OA Date of Dicharge eotmacat 89 nig era } Aprimenise eerssusnnas Aeuse Qoshad ag aved qe | ea Hose Tee Ne. A adler BBs acm cy 0 ohinas g. Cgruratater gaz everrg, BL SHORT WISTORY GIVEN BY PATIENT 8 aoe oan ign idamn geaa wishes edo oSsiee (ecldel amts) IO gormiajeat viet af upsaSuer) SEECIAE. BIVESTATDNS @@A7,ETC 4 8. ene MD ras be aiepe Num ees ijn Noe (40. 98 aegvos 311 Beladesitm Bast eSemret ey ae 988s adee gag e100 wos gRoyse Dadsre 21 ub aNPaPL BOND Fes Ws Exploratory rtarks if ony Lint under section 311 of Penal Cae 114134 4) Kasaule 9H isn docs, atael Gat Inj sin ia he war nism cause eth (NOS) poo edad Obaa Be Si. ye auat Quic = 4. ox Bi mS ease arene 9 ce yen Taji cae y i) 08x mga aD cay ainwcen ine nap = Be (ay lt Weapon = Nos 89-0 Bareae Ba cues (@) Sgg see ed fi) alone Dolch () Sharp caieysstumee wigded Ga. Sab New 59-0, } (@) Gam agaisn - Bev () eh arwieel Be. © Bom (qd B8AB9- G29 | (@) e192 - es (a) ayy arwser - Ba (6) Dite Masks Nex o1De nowst- (oes gore HomIDG, SIDR BBE Bf De, OLS oO, OMd CE GO BBD! eG cy GBOLEE m NOW exeeeg on com sen em). 5O pooner chupsiach (ashes ns a fut nat, NypAast nan cat ndusao, akyiomene acl ener ays. eoywiggus Boxee) Further Noses (Consider self-inlictions caused by ienlyhondsugnestve of fll and whether nueesare compatible witnhisiory elven by injure) ce crfr Ayrurafites ngenen. 2.0 Pate! smeling of gust 5. odiBa Seley 0g O53 | wsdunes ner Under otnce of tor tte on | aig Supa Guugo ar1e7u 29099 Aco ayows! 90 ow acamO par exes } dome Sat pes pont . On susan 591TH 388 Dae of despatch of Report cation com e¢ Tes } eengs SeUOaed CD oak. 5a) 681 Fad aw Sshxatue ov edealo es aw qOmdes - eee Ortion® aL sooupu ufone MEDICO - LEGAL REPORT eedes HEdsGxio geogs u@sen aeaniamds sinodgmsac INSTRUCTIONS TO MEDICAL OFFICERS 1. #8 rw: 20a) q18 ginsl ened odio BBeLe a 00 qateet men fina eung IDs ge 8. o#4are0 Bare! e=d;eb4= eons) on gee. ANpHELUL GOK Uys weoUCLURE DAIICEH EMAL. WKB UIE UI Ben) red Eyda DorrdO ‘Transnt port on the form provide, signed and dated, Acopy tobe hep! bythe Docter 2. wit 2865 (09 cose DO emea Dilid and: Gon emid sof BIOIRE aneds Ce Ba SD. AGuTeraIT amaEGeNAEeeT MIDI BL gail hi. ems Gastane eUpEVUGSA BaIABL. 1 DDAY BCT vph HE urssaauvL vesOrd “The por should be waite legily or typed, always avoiding echnical vers as far as posible 2 Sodidgetosasaiet gaf0® an! Onl ox Ba actialnd meyaced 29 fiea0 xB BO & FdanON DGS) gFehae) aAeHOp gjempoureem CUpyAswrererOULL gr use) orehes esd alain asBerencrenand Seangitg 100 damagu Allreports to be sen ede registred cova tothe Magistrale on recip of the notes cr summons fom him. 4. Ditaasd Boca voDye SicosTaid ger BOS. cy 92 gdefBp ece adr cm gy. By qul aYSd O51 adn Cig OD22 B2E> wes eo deen a sao. a siBbemaibe 78 cobs onciafed Toihs! Condes ob sige sje) Ussyera casddges InesD. Dadar Bisgady onpod cuptdvnyss QaomuL gorse Ganeag) Grow dusGD. ‘The copy of the report ithe persenal propery ef the Medial OGeer and he should keep it under lock and keyHe shoul ke itwith him when he is tansfered to another station. (lO BS exgoed 311 8:5 dosiGo - Fam aCLACErmMANSER 311 QU Ua}. SECTION 311 OF PENALCODE — beQ0- Ree exis exos 508. (gsanaigs-gedm ae26 Firstly -Erusculaion e¢bne - eras eo anes O15 800, Dyadinag -satact Qyangsr5i0 ap00pe 960;Ser anger Gemwrer Dypou. Seconly- Permanent prvation of th: sight of cies eye on g0 - nme q80 aqude x6 B08. Erareg) anges! Qrargera:d ops090 set fod QacLatet Renaren Buu. “Thvdly - Permanent prvaton of the hearing of ether ear G00q9 - 904 gos5a20 eo! asiDand eof exes Sv. gnetarais)- odemib eegDLy sedBpe tguycrtec ted Bypou. Ferthly = Privation of any member joint. dog = 0d qosbs20 eo! autem ant Gexrtaibe mS 809 anf aqo09 «ae Ste, Bpereg!-90s—@u exespuvtet wetOrad eevUyU UeomrULT® Stomwren epiaigcrne) oetGne -1fe) Fifhly -Destuetn er permanent impairing ofthe power eFany member or joint 0g - Be eal Bg a¢o09 Bi8 Ste, quota - peed opiOpe! wpa sb martes BOY Hensal, Siathly Permanent disfigurtion ofthe had or fe, dom9 - abe gies ost goat go 0289 859 oot w:B0. eyes, - aguas SI0DS Ue Gor LTD) aeIODA: seNaAIA ME, Seventy - Fracture of dislocation of bone or oath. 90090 - S680 maBisch axe fe wrS oul QUde exe Bo Below mice MRED BODE EF AAD (615 eB oOcon BRD G:00 ee vo! 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Sgove © ofad £8 Tine qEI cates wel See tans on gen eae Sei Oc ooedimcn ee? tye oBelocs eolddod BBoriy marbSe uf cordanes UN sisfimen fy ayuppacaouret AOMEP TORS MISE Brest oxrkdu ufcmessrer ina; anes so 16F nLcpSed edgy vega Get) BAOAE OF AImPboW wenace mien sree en meupbate Boe OneaB = ° faveoty apg utes URES ofr aunine ug dnat mais umdangmenyd gr Qusercrbpanen arse apetltsLBU OEE Sect essa Ufcedater Laserb peg Os ete Usados spies apentre “anne ‘Seturoub, uau.uee!Gaaas tapinaun getana dade ™ mussufed enins SSN ngcarue spk 8s goosrn ass signe Ungatea Bey Aavesty iad ufcwe dares uusrbie uration ogy i ed epg MBICLTTC Sema CAE (Gy seniagin (a) a) “Baten? BoNghgs Benn 98 coy he Anvorp esis foes Oacige, ~ ar pots fi91 Cane ba gebus 31 aap Soeontn emibbu ufcossares ugwsdOe geiOerng agi ire rg. ason® IasAauND Aurela Smevh Send HS Beseasaer CSTE? 19 QUEL ATH BOL ysENT CD AALUL ON SEdIES 95 Datnd Bowrnn apt wapurs. Bain pemsbdrufeene bane uiarteng ePumen ena wip igusit HOON Bumpouns Jeo CuNBHUrer agiIarrer Lad sauce paaisguudieorsanes uscaderg and sufo supanvuspare pass Gréinie Curae ngraerern=s ewe EnaGeh oemyse, ag dary Guncias mpierarerts Gunes Pmenibsibe nese wiaaget Seed cepa utlos Ugmiade Baanbdlog euorner mado ugene Genazta Bnet @ INSTRUCTIONS FOR MALE AND FEMALE POLICE OFFICERS FOR FILLING THE MEDICO LEGAL. EXAMINATION FORM. ‘Nurnber01- 09 of eounteroi section of Medico Legal Examination hold be film lear an eile and wring Conect dete shouldbe furashed inthe Medico Legal Examination Fore. Medical Examination and the reason ts called for shouldbe mentioned ces rand the aa ofthe officer who [sss fx Medico Laga Exasation form and “The signature, Rank, Regimental Numbe Toor should be clealy menenee, those ie fin who subsite ed Do ot writen the section," Notes ofthe Medica Officer" only rom asnbe 0108 af seen (of bat te Fale Copy ma Cay of he Meier Mein Let ny or soul be filled by we suing officer bly sod are vey yeu Tau io31 December Meio Ll Canton eam nuns stereo Ever at om No Plce Salon stu ise ihe sume number wee win he ere year. rrishe esos andthe ty ofthe Omer +Tn- Chas of te ub sei tau he ese tel Exaianon Fomcorret, vutegin corresponding courte secloneevastoth unbe oie Medio Lapa Exaninuon Frm 486 oe Pasting oer oe lon Pom bregio he oe San etry the Pale P= "te es = I poe Omeer wiv akss efor tsi tothe Medel Otter es =|. MEDICAL OFFICERS nOTE Father we Ara ‘als Tea Peete Ema kaos ea Stoo sags etd emits ar) 0 ay ag ns Pa inte enacyer _id TY) Fiverter wat: Tea de Ona tae te 4 dr ae dst ene Re eget Pore tom amy rene tes dad aw nee suas toe tat WAS wel dada naa aa wala Goes Mee aS Earn et aan 1 nant ang Tarte Le ema Ae Le aL ang ene bi vom Oa, 1 metceed ete mma mete re car tore ie EI eet sa EN mamtde wt) erage tasee 4 ea Pa = ctr am WLS teen pee ints BS: aan mas nit a Catia an co ae | tae cotaaacen Em _ pad || Senin Ba i Free Emara tens Tae write wn a ‘Saree Seecreee a [eee ecvoser intron tekere tee rious Sparen ot es hire on! Hae i Bed Be rt SI Pomc 8 ond gy

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