Book No MLC No Hospital Name

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Provisional Report

Book No. 1 Serial No. 772818

Hospital Name District Head Quarter Hospital, Attock MLC No. 10/2023

Name. Mohammad Asif Caste Bhatti


Muhammad Altaf
Son/Daughter/Wife of
35Years ,Male Rakshaw Driver
Age & Sex Occupation
Moh. saddique abad mirza attock
Address
NIC No 37101-5267399-1

Two Identification Marks:


(mention complete description & exact anatomical location)
Mole 2x3cm right side of neck
1)

2) Old scar left hand

Relatives
Accompanied by:

05-Jan-2023 08:55 PM
Date & Time of (a) Arrival

(b) Examination 05-Jan-2023 09:30 PM

29 05.01.2023
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 09:40 PM


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

Dr. Jabran Ashraf Butt


Patient/police copy 05-Jan-2023 11:47 PM Medical Officer
Medico Legal Examiner
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Provisional Report

Mohammad Asif

Mohammad Asif

37101-5267399-1

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 11:47 PM Medico Legal Examiner

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Provisional Report

Brief History:
History of fight today with 2 people at saddique abad around 07:30PM hit by stone

Examination of Clothes:
Not torned not stained with blood

General Physical Examination/Symptons:


A young male well oriented vitally stable

Description of injury(ies): (Mark the injuries on the body diagram on the back of this page)
1. Laceration right side of skull 3x2.5cm blood oozing out bone not exposed surrounding by bruise.

Dr. Jabran Ashraf Butt


Patient/police copy
Medical Officer
05-Jan-2023 11:47 PM Medico Legal Examiner

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Provisional Report

Investigation Advised:

x-ray skull

Samples sent for Laboratory Examination:

nil

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

Nature of Injuries (Qisas & Diyat Law):

Inj#1 are declared as "Shujjah khafifa" till final report for radiologist

Possibility of Fabrication if any: Yes/No:

NO

Probable Duration of Injuries:

2-4hrs

Kind of Weapon Used/Poison Suspected:

Others ( Blunt (stone) )

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 11:47 PM

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Provisional Report

MLC
Samples Expert
Samples
Expert

Asad Ali (1654/C)

Patient/police copy Dr. Jabran Ashraf Butt


Medical Officer
05-Jan-2023 11:47 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 11:47 PM Medico Legal Examiner

Powered by Health Information & Service Delivery Unit

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