CENTRAL INSTITUTEOF PSYCHIATRY

Kanke, Ranchi -834006(harkhand) ndia

No
Date:

TREATMENT CERTIFICATE
This is to certify that
with UHID..... L.......* NO Shri/smt/kumart...A.t..S424.
has consulted this hospital as an outpatient. dated 1.J...
He/ She has been under treatment from. . . .toL.
3 Fe She has last ettended OPD in the
folowing dates:

4.
Dete ot Admss on (f aoglicable).J Date of Discharge
Note: This Cert1ficate acknowledges only that
the above named patient has been
w thout under treatmenka trhis Hosctal
committing the type, duration, severity and type of
treatment given. Clarification, if any,
Chhet Officer
Kake Rancr
Chief Medical Officer,
de Central Institute of
Psychiatry.
Ranchi.
 MRD, No. :MH|e434s
PURPOSE)
FOR COURT
INOT VALID FORTHE LEGAL CR
Hospitalfor Mental Health, Ahmedabad
Modical Smmary
o.P.D. No. : a422
Gender : Male
Name :
Unit: 3
Ago: 28v
Reg no £3 2/ Discharge Date:
AOtsstUn Cate
Psychiatrist's Name: h N l
SPC Observation
Admission Procedurc:
Criminal Family Ward ]
Recepation 1

Chief Complaints :

Paticnt Condition at the time of Admission:

Fhyscal Condition: Psychiatric Condition :

General Investigation :
A:
Treatment Given During Adnission : ECT Given YES INO
(7-Diaupau/lo4 NOOF ECT :
7clonoil°) .
Progress :
Physical Progress: Psychiatric Progress:

Patient Conditlon at the time of Discarco :

Final Diagnosis(Code) :BNO (M)

Noof Eplsode I Exacerbation:
 bsolheut/S
tnt, -8a4006
CENTRAL KHSTITUTE OF

.01-480,
teleshan
KANKE, RANCKt-@3400$
062-24SOa22,24313.
PsYCHIATRY
2441|15. 4%404,44 LC1UN ÇASI HOCIh:
UNIT-I/IV

C.R.F No: . RondartTtayteut

Name of the Patient
Age: 16
1
(ro)o6t2481

eIP
MELPI!ME (excmichm)

4
1,0003451a

(Bujol-0T)(2)
te