477966-1938-Asylums-Ord--1936-Order-under-section-4-of-the — Page 5

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THE HONG KONG GOVERNMENT GAZETTE, DECEMBER 16, 1938.

G.

HONG KONG,

FORM No. 5.

R.

Form of order to be given by the senior medical officer for the time being present in and on the staff of a hospital for the removal to a mental hospital for the purpose of detention and observation of a patient who shows symptoms of suffering from delirium tremens.

Asylums Ordinance, 1936, s. 11.

I,

9

being the

senior officer for the time being present in and on the staff of the

Hospital, have examined

a patient in the said hospital

and find that he shows symptoms of suffering from delirium tremens

and I hereby order him to be removed from the said hospital to the

Government Mental Hospital and to be detained there under observa- tion for a period not exceeding seven days from and including the date

of this order.

Dated the

day of

19........

(Signature)

NOTE. The medical officer signing this order must be a registered medical practi- tioner, or a Government medical officer, or a medical officer of His Majesty's Navy or Army serving in the Colony on full pay, or a professor of the Faculty of Medicine of the University of Hong Kong.

COUNCIL CHAMBER,

9th December, 1938.

T. MEGARRY,

Clerk of Councils.