Remission of dues wholly or in part

The Minister may remit by way of relief the whole or any part of the dues to which persons may have become liable under or pursuant to the provisions of this Act, and the 35 SCHEDULE 1 MEDICAL SERVICE AND INSTITUTIONS ACT Order for Free Admission into Hospital (Sections 24 to 26 and 28) I, the undersigned, do hereby certify that of is unable from want of means to procure for him self proper medical attendance at his home; and I do hereby order that the said be admitted into the Public Hospital at Dated at this day of 20 . Undersigned Name------------------------------- Undersigned Address------------------------------ --------------------------- Signed 36 Medical Services and Institutions SCHEDULE 2 Form 1 MEDICAL SERVICE AND INSTITUTIONS ACT Undertaking to Pay Hospital Dues (Sections 24 and 25) do hold self responsible for all dues incurred on account of the admission into the Public Hospital at of of And (my, his, her) treatment therein as a class patient, according to the rules and regulations for the general management of the medical institutions (and have deposited the sum of $ to be applied as far as may be necessary in the payment or part payment of such dues). Dated at this day of 20 . (Signed) Medical Services and Institutions 37 Form 2 MEDICAL SERVICE AND INSTITUTIONS ACT Order for Admission into Hospital (Sections 24 and 25) I, the undersigned, having duly accepted the above [together with a deposit of $ ] as guarantee for the payment of all hospital dues that may be incurred on account of the admission into hospital of of and to treatment therein, and having satisfied myself that he is a fit and proper person to receive treatment in the hospital as a class patient, do hereby order that the said of be admitted into the hospital as a class patient. Dated at this day of 20 . Magistrate 38 Medical Services and Institutions SCHEDULE 3 MEDICAL SERVICE AND INSTITUTIONS ACT Provisional Admission Report into Hospital on Accident or Emergency Cases (Section 26) To the Magistrate, of having been provisionally admitted into the public hospital at by me, I have the honour to request that you will be so good as to furnish the necessary order for admission into hospital under the Medical Service and Institutions Act, Cap. 39. Dated at this day of 20 . Medical Officer Medical Services and Institutions 39 SCHEDULE 4 MEDICAL SERVICE AND INSTITUTIONS ACT Order for Admission into Hospital of Accident or Emergency Cases (Section 26) I, the undersigned, having made as full an inquiry as is reasonably possible, do hereby order that of who was admitted into the hospital at on the day of 20 . be classed as a class patient. Dated this day of 20. Magistrate 40 Medical Services and Institutions SCHEDULE 5 MEDICAL SERVICE AND INSTITUTIONS ACT Certificate Entitling a Person to Receive Gratuitous Medical Attendance at a Dispensary (Section 27) I, the undersigned, do hereby certify that of is unable to provide himself with proper medical attendance owing to want of means. Dated at this day of 20 . Undersigned Name ---------------------------- Undersigned Address--------------------------- ------------------------------- Signed