108324-1927-Order-under-section-4-of-the-Asylums-Ordinance-1906 — Page 3

418

THE HONG KONG GOVERNMENT GAZETTE, OCTOBER 7,

1927.

Countersigned,

Magistrate.

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

19......

FORM No. 4.

Certificate of medical practitioners for extension of period of detention for observation.

Asylums Ordinance, 1906, s. 10.

We....

...and...........

hereby certify that it is cur opinion necessary that..

}

medical practitioners,

now detained

in the (Government) Asylum för observation under the authority of the Asylums Ordi- nance, 1906, should be detained there for the purpose of observation for a further period of (seven) days from and after the expiration of the order of the magistrate (or justice of the peace) under section 7, which is dated the............day of.....

19...... (or, for a further period of seven days from and after the................ 19....., on which day the first extension expired).

day of..

The reasons which in my opinion render it necessary to detain the said......................

for further observation are as follows:

(Here state reasons).

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

19......

"

Medical Practitioner.

The reasons which in my opinion render it necessary to detain the said...... for further observation are as follows:-

P

(Here state reasons).

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

Countersigned,

19......

Medical Practitioner.

Dated the..

www.

Magistrate.

...day of..

19......

NOTE. The period of each extension is limited to seven days. The first day of the first ex- tended period will be the day immediately after the expiration of the order under section 7:"see the note to Form No. 2. There cannot be more than two extensions.