Download as pdf or txt
Download as pdf or txt
You are on page 1of 6

Provisional Report

Book No. 1 Serial No. 772819

Hospital Name District Head Quarter Hospital, Attock MLC No. 11/2023

Name. Sabir hussain Caste Awan


Zafar iqbal
Son/Daughter/Wife of
28Years ,Male labour
Age & Sex Occupation
Moh. saddique abad mirza attock
Address
NIC No 37101-0755743-1

Two Identification Marks:


(mention complete description & exact anatomical location)
Mole over right cheek
1)

2)

Brother
Accompanied by:

05-Jan-2023 10:08 PM
Date & Time of (a) Arrival

(b) Examination 05-Jan-2023 10:21 PM

No. & Date of Police Docket/Court Order

Asad Ali (1654/C)


Name and No. of Police Constable

If admitted, Date and Time of (a)Admission

(b)Discharge 05-Jan-2023 10:50 PM


Date & time of Report sent to police
(if not accompanied by police)

Dr. Jabran Ashraf Butt


Patient/police copy 05-Jan-2023 11:01 PM Medical Officer
Medico Legal Examiner
Powered by Health Information & Service Delivery Unit
Provisional Report

Sabir hussain

Sabir hussain

37101-0755743-1

Moh. saddique abad mirza attock

Note: In cases of sexual assault, samples should be sent for DNA test.
Dr. Jabran Ashraf Butt
Medical Officer

Patient/police copy 05-Jan-2023 11:01 PM Medico Legal Examiner

Powered by Health Information & Service Delivery Unit


Provisional Report

Brief History:
History of fight today 07:30PM at moh. saddique abad mirza attock hit him with kicks and sticks.

Examination of Clothes:
Purple colour shalwar qameez torned but not stained with blood handed over to police after sign and stamp

General Physical Examination/Symptons:


well oriented, vitally stable

Description of injury(ies): (Mark the injuries on the body diagram on the back of this page)
1. C/O of pain over right eye and double vision from left eye . Refer to eye surgeon
2. C/O of pain over left eye . Refer to eye surgeon
3. C/O of pain over right elbow. No bruising no swelling

Dr. Jabran Ashraf Butt


Patient/police copy
Medical Officer
05-Jan-2023 11:01 PM Medico Legal Examiner

Powered by Health Information & Service Delivery Unit


Provisional Report

Investigation Advised:

x-ray right elbow

Samples sent for Laboratory Examination:

nil

Opinion of Specialist/Operation Notes/ X-Ray Report:

Nature of Injuries (Qisas & Diyat Law):

KUO

Possibility of Fabrication if any: Yes/No:

May be could not be ruled out

Probable Duration of Injuries:

2-5 hours

Kind of Weapon Used/Poison Suspected:

Others ( blunt )

Final Opinion for KUO Injuries (To be given within 21 days):

Government Fee Rs. 200 Received


Dr. Jabran Ashraf Butt
Medical Officer
Medico Legal Examiner
Patient/police copy

05-Jan-2023 11:01 PM

Powered by Health Information & Service Delivery Unit


Provisional Report

MLC
Samples Expert
Samples
Expert

Asad Ali (1654/C)

Patient/police copy Dr. Jabran Ashraf Butt


Medical Officer
05-Jan-2023 11:01 PM Medico Legal Examiner

Powered by Health Information & Service Delivery Unit


Provisional Report

Patient/police copy Dr. Jabran Ashraf Butt


Medical Officer
05-Jan-2023 11:01 PM Medico Legal Examiner

Powered by Health Information & Service Delivery Unit

You might also like