Mental Hospitals.

[CAP. 136

G.

HONG KONG.

FORM 3.

R.

Certificate of medical practitioners as to unsoundness of mind.

Mental Hospitals Ordinance, s. 10 (Chapter 136 of the Revised Edition.)

We ... and ... medical practitioners, hereby certify that ..., Age ... of ..., Sex ..., Nationality ... at present detained for observation under the authority of the Mental Hospitals (Cap. 136) Ordinance is in our opinion a person of unsound mind.

The reasons for my opinion are as follows-

Dated the ... day of ... 19......

Medical Practitioner.

The reasons for my opinion are as follows-

Dated the ... day of ...

Countersigned.

19......

Medical Practitioner.

Magistrate.

Dated the ... day of ... 19......

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