Brought Dead Police Intimation Letter
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Doctor's Name
Dr.
Doctor's Number
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Hospital Name
Police Station Name
Patient Details
Patient Name
Patient Age
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Patient Sex
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Male
Female
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Optional Details
Any Identity Mark (Optional)
ER Reg. Number (Optional)
Brought In Details
Brought in Date
Brought in Time
Brought by Name
Relation to Patient
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Father
Mother
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Son
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Attendant Phone Number
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Incident Details & Clinical Findings
Date of Occurrence
Time of Occurrence
Place of Occurrence
Condition when found
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Hanging
Drowned
Poisoning
Road Traffic Accident (RTA)
Burned
Unconscious
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O/E, Bilateral pupils are dilated and fixed, corneal reflex are absent, heart sound and breath sound not audible. all superficial and deep reflex were absent, and.....
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