477966-1938-Asylums-Ord--1936-Order-under-section-4-of-the — Page 3

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THE HONG KONG GOVERNMENT GAZETTE, DECEMBER 16, 1938.

G.

HONG KONG.

FORM No. 3.

R.

Certificate of medical practitioners as to unsoundness of mind.

We

and

Asylums Ordinance, 1936, Sec. 9.

medical practitioners, hereby certify that

Age

of

Sex

Nationality

at present

detained for observation under the authority of the Asylums Ordinance,

1936, 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

19..

Countersigned.

Dated the

Magistrate.

day of

Medical Practitioner.

19.........