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

THE HONG KONG GOVERNMENT GAZETTE, DECEMBER 16, 1938.

917

G.

HONG KONG.

FORM No. 4.

R.

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

Asylums Ordinance, 1936, s. 10.

and

We

medical practitioners, hereby certify that it is in our opinion

necessary that

now detained in the Government Mental Hospital for observation under the authority of the Asylums Ordinance, 1936, 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

day of

19..........

$

on which day the first extension expired).

The reasons which in my opinion render it necessary to detain

the said

observation are as follows:----

Dated the

day of

19.........

for further

Medical Practitioner.

The reasons which in my opinion render it necessary to detain

the said observation are as follows:-

for further

Dated the

Countersigned.

day of

Dated the

Magistrate.

day of

19........

Medical Practitioner.

19.........

>

NOTE. The period of each extension is limited to seven days. The first day of the first extended 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.