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Gopalgonj G.R-121/2019
250 Bedded General Hospital, Gopalgonj
Injury Report
Office memo No. Date:
Name : Abdullah Khan Father/Husband : Syed Khan
Age : 35 years Sex :F/M,
Occupation : Religion : Islam
Address :Pukuria, Gopalgonj.
Date & Time of Occurrence : 27-02-19 at 3-45 PM
Date & Time of examination: 27-02-19 at 5-25 PM
Emergency Police Reg. No. 379/01 27-02-19
Requisition Memo No. 1603/11 02-03-19
08-03-19
P.S./ Court : Gopalgonj
Examined the above mentioned patient in the emergency room
of 250 bedded General Hospital, Gopalgonj and found following
injury/injuries on his/her person.
1 Site :- Amputation of lt. foot from ankle joint
Sharp
ID-Em 190228-030034 date-28-02-19
Shape :-
Size :-
Type of wound :
Weapon used
X-ray finding
2 Site :- incised wound (6 cm x 1.5 cm x 1 cm) over
posterior vertex
Sharp
Shape :-
Size :-
Type of wound :
Weapon used
X-ray finding
3 Site :- Swelling and tender over Lt. fore arm
Blunt
Fracture radius (Lt.) ID-EM 190228-030034 Date-08-02-19
Shape :-
Size :-
Type of wound :
Weapon used
X-ray finding
4 Site :-
Shape :-
Size :-
Type of wound :
Weapon used
X-ray finding
5 Site :-
Shape :-
Size :-
Type of wound :
Weapon used
X-ray finding
Age of the injury about :-1 hour 40 minutes
Comment about the nature of injuries :
1) Grievous hurt: Injury No. 1+2
2) Simple hurt : Injury No. 3
Written by : Dr. Farukahmed
Identified by :
Seen
Signed/-
Senior judicial magistrate
Amli Court “A” Zone
Gopalganj
Signed/-
28-03-19
Dr. Md. Fazlul Karim
MBBS, BCS(Health)
Medical Officer (ICU)
250 Bedded General
Hospital, Gopalgonj.
Signed/-
28-03-19
Dr. Sonjib Kumar Dhar
E.M.O
250 Bedded General
Hospital, Gopalgonj
Code-112634
Signed/-
28-03-19
Attending Doctor
Dr. Faruk Ahmed
Code no.-110480
Resident Medical Officer,
250 Bed General Hospital,
Gopalganj.
250 Bedded General Hospital, Gopalgonj
Injury Report
Office memo No. 2310 Date: 06/11/16
Name :Jhunu Biswash .... Father/Husband :Moloy Biswash
Age : 40...... yrs. Sex : F/M, Religion : Islam Occupation :......
Address : Colpur, Rajair, Madaripur.
Date & Time of Occurrence : 02-02-18 at 10 AM
Date & Time of Exam : 16-10-16 at 12:2 PM
Emergancy Police Reg. No. : 5595/7
Admission Reg. No. .....Requisition Memo No. 8047 Date : 04-11-16
P.S./Court : Gopalgonj.
Examined the above mentioned pt. in the emergency room of 250
bedded General Hospital, Gopalgonj and found following injury/injuries.
1. Site :- A cut injury in the scalp about
Shape :- 3 cm x 2cm x 2cm
Size :- Blunt tramma on back
Weapon used :- Blunt weapon
X-Ray :-
2. Site :-
Shape :-
Size :-
Weapon used :-
X-Ray :-
3. Site :-
Shape :-
Size :-
Weapon used :-
X-Ray :-
4. Site :-
Shape :-
Size :-
Weapon used :-
X-Ray :-
5. Site :-
Shape :-
Size :-
Weapon used :-
X-Ray :-
Age of the injury about :- 2 hrs 20 min hour/days :- Time of Occurrence 10 am
Comment :
a) Grievous hurt in nature :- Injury No.
b) Simple hurt in nature :- Injury No.
RegNo :- Emergency/Indoor/Out door :-5595/7 .. Date : 16/10/16
Bed No. : ................ Ward No. : ...................................................
Written by : Dr. UrmiHuq .........................
Identified by/Signature of Victim :-Ks-580 †gvt nvwdRyi ingvb
Seen
Signed/-
Senior judicial magistrate
Amli Court “A” Zone
Gopalganj
Signed/-
28-12-16
Dr. Md. Fazlul Karim
MBBS, BCS(Health)
Medical Officer (ICU)
250 Bedded General
Hospital, Gopalgonj.
Signed/-
28-12-16
Dr. Sonjib Kumar Dhar
E.M.O
250 Bedded General
Hospital, Gopalgonj
Code-112634
Signed/-
28-12-16
Attending Doctor
Dr. Faruk Ahmed
Code no.-110480
Resident Medical Officer,
250 Bed General Hospital,
Gopalganj.
250 Bedded General Hospital, Gopalgonj
Office memo No. Date.............................
``INJURY REPORT’’
Name :SalauddinMolla ...... Father/Husband : Late IsrafilMolla
Age : 55...... yrs. Sex : F/M, Religion : Islam Occupation :......
Address :Puisur, Kashiani, Gopalgonj
Date & Time of Occurrence : 02-02-18 at 3.30 PM
Date & Time of Exam : 02-02-18 at 9 PM
Emergancy Police Reg. No.:585/12 Admission Reg. No. .......
Requisition Memo No. 106 Date : 04-02-18 P.S./Court : ACJM,
Cognigence Court, Ga Zone, Gopalgonj.
Examined the above mentioned pt. in the emergency room of
250 bedded General Hospital, Gopalgonj and found following
injury/injuries.
Injuri No.1-swelling and tender over Lt, side of chest
Injury no-2-swelling tender c’ echymosis over st. shoulder.
Injury no-3 swelling, tender c’ .....abrasion over postenion aspect of
stclbow.
Injury no-4-Multiple swelling, tender c’ abrasion over dorsnm of Lt,
hand.
Injury no-5-swelling, tender c’ abrasioe over st. knee.
Injury no-6-swelling, tender c’ abrasioe over lt. knee.
Injury no-7-incised wound (5 cm x 15 cm x with bone cut) over
st.pasicto, occipital region.
Age of injury about 5
1
2
hours.
Comment Above mentioned injuries are
No. (7) Griecous in nature caused by sharp cuttinj weapon.
No. 1+2+3+4+5+6+8 simple in nature caused by blant weapon.
Seen
Signed/-
Senior judicial
magistrate
Amli Court “A” Zone
Gopalganj
Signed/-
28-12-16
Dr. Md. Fazlul Karim
MBBS, BCS(Health)
Medical Officer (ICU)
250 Bedded General
Hospital, Gopalgonj.
Signed/-
28-12-16
Dr. Sonjib Kumar Dhar
E.M.O
250 Bedded General
Hospital, Gopalgonj
Code-112634
Signed/-
28-12-16
Attending Doctor
Dr. Faruk Ahmed
Code no.-110480
Resident Medical Officer,
250 Bed General Hospital,
Gopalganj.

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MC.docx

  • 1. Gopalgonj G.R-121/2019 250 Bedded General Hospital, Gopalgonj Injury Report Office memo No. Date: Name : Abdullah Khan Father/Husband : Syed Khan Age : 35 years Sex :F/M, Occupation : Religion : Islam Address :Pukuria, Gopalgonj. Date & Time of Occurrence : 27-02-19 at 3-45 PM Date & Time of examination: 27-02-19 at 5-25 PM Emergency Police Reg. No. 379/01 27-02-19 Requisition Memo No. 1603/11 02-03-19 08-03-19 P.S./ Court : Gopalgonj Examined the above mentioned patient in the emergency room of 250 bedded General Hospital, Gopalgonj and found following injury/injuries on his/her person. 1 Site :- Amputation of lt. foot from ankle joint Sharp ID-Em 190228-030034 date-28-02-19 Shape :- Size :- Type of wound : Weapon used X-ray finding 2 Site :- incised wound (6 cm x 1.5 cm x 1 cm) over posterior vertex Sharp Shape :- Size :- Type of wound : Weapon used X-ray finding 3 Site :- Swelling and tender over Lt. fore arm Blunt Fracture radius (Lt.) ID-EM 190228-030034 Date-08-02-19 Shape :- Size :- Type of wound : Weapon used X-ray finding 4 Site :- Shape :-
  • 2. Size :- Type of wound : Weapon used X-ray finding 5 Site :- Shape :- Size :- Type of wound : Weapon used X-ray finding Age of the injury about :-1 hour 40 minutes Comment about the nature of injuries : 1) Grievous hurt: Injury No. 1+2 2) Simple hurt : Injury No. 3 Written by : Dr. Farukahmed Identified by : Seen Signed/- Senior judicial magistrate Amli Court “A” Zone Gopalganj Signed/- 28-03-19 Dr. Md. Fazlul Karim MBBS, BCS(Health) Medical Officer (ICU) 250 Bedded General Hospital, Gopalgonj. Signed/- 28-03-19 Dr. Sonjib Kumar Dhar E.M.O 250 Bedded General Hospital, Gopalgonj Code-112634 Signed/- 28-03-19 Attending Doctor Dr. Faruk Ahmed Code no.-110480 Resident Medical Officer, 250 Bed General Hospital, Gopalganj.
  • 3. 250 Bedded General Hospital, Gopalgonj Injury Report Office memo No. 2310 Date: 06/11/16 Name :Jhunu Biswash .... Father/Husband :Moloy Biswash Age : 40...... yrs. Sex : F/M, Religion : Islam Occupation :...... Address : Colpur, Rajair, Madaripur. Date & Time of Occurrence : 02-02-18 at 10 AM Date & Time of Exam : 16-10-16 at 12:2 PM Emergancy Police Reg. No. : 5595/7 Admission Reg. No. .....Requisition Memo No. 8047 Date : 04-11-16 P.S./Court : Gopalgonj. Examined the above mentioned pt. in the emergency room of 250 bedded General Hospital, Gopalgonj and found following injury/injuries. 1. Site :- A cut injury in the scalp about Shape :- 3 cm x 2cm x 2cm Size :- Blunt tramma on back Weapon used :- Blunt weapon X-Ray :- 2. Site :- Shape :- Size :- Weapon used :- X-Ray :- 3. Site :- Shape :- Size :- Weapon used :- X-Ray :- 4. Site :- Shape :- Size :- Weapon used :- X-Ray :- 5. Site :- Shape :- Size :- Weapon used :- X-Ray :-
  • 4. Age of the injury about :- 2 hrs 20 min hour/days :- Time of Occurrence 10 am Comment : a) Grievous hurt in nature :- Injury No. b) Simple hurt in nature :- Injury No. RegNo :- Emergency/Indoor/Out door :-5595/7 .. Date : 16/10/16 Bed No. : ................ Ward No. : ................................................... Written by : Dr. UrmiHuq ......................... Identified by/Signature of Victim :-Ks-580 †gvt nvwdRyi ingvb Seen Signed/- Senior judicial magistrate Amli Court “A” Zone Gopalganj Signed/- 28-12-16 Dr. Md. Fazlul Karim MBBS, BCS(Health) Medical Officer (ICU) 250 Bedded General Hospital, Gopalgonj. Signed/- 28-12-16 Dr. Sonjib Kumar Dhar E.M.O 250 Bedded General Hospital, Gopalgonj Code-112634 Signed/- 28-12-16 Attending Doctor Dr. Faruk Ahmed Code no.-110480 Resident Medical Officer, 250 Bed General Hospital, Gopalganj.
  • 5. 250 Bedded General Hospital, Gopalgonj Office memo No. Date............................. ``INJURY REPORT’’ Name :SalauddinMolla ...... Father/Husband : Late IsrafilMolla Age : 55...... yrs. Sex : F/M, Religion : Islam Occupation :...... Address :Puisur, Kashiani, Gopalgonj Date & Time of Occurrence : 02-02-18 at 3.30 PM Date & Time of Exam : 02-02-18 at 9 PM Emergancy Police Reg. No.:585/12 Admission Reg. No. ....... Requisition Memo No. 106 Date : 04-02-18 P.S./Court : ACJM, Cognigence Court, Ga Zone, Gopalgonj. Examined the above mentioned pt. in the emergency room of 250 bedded General Hospital, Gopalgonj and found following injury/injuries. Injuri No.1-swelling and tender over Lt, side of chest Injury no-2-swelling tender c’ echymosis over st. shoulder. Injury no-3 swelling, tender c’ .....abrasion over postenion aspect of stclbow. Injury no-4-Multiple swelling, tender c’ abrasion over dorsnm of Lt, hand. Injury no-5-swelling, tender c’ abrasioe over st. knee. Injury no-6-swelling, tender c’ abrasioe over lt. knee. Injury no-7-incised wound (5 cm x 15 cm x with bone cut) over st.pasicto, occipital region. Age of injury about 5 1 2 hours. Comment Above mentioned injuries are No. (7) Griecous in nature caused by sharp cuttinj weapon.
  • 6. No. 1+2+3+4+5+6+8 simple in nature caused by blant weapon. Seen Signed/- Senior judicial magistrate Amli Court “A” Zone Gopalganj Signed/- 28-12-16 Dr. Md. Fazlul Karim MBBS, BCS(Health) Medical Officer (ICU) 250 Bedded General Hospital, Gopalgonj. Signed/- 28-12-16 Dr. Sonjib Kumar Dhar E.M.O 250 Bedded General Hospital, Gopalgonj Code-112634 Signed/- 28-12-16 Attending Doctor Dr. Faruk Ahmed Code no.-110480 Resident Medical Officer, 250 Bed General Hospital, Gopalganj.