Republic of the Philippines

Province of Davao del Sur

124 A. Pichon St, Poblacion District, Davao City, 8000 Davao del Sur
Tel No: (082) 227 4749

DAVAO CITY HEALTH OFFICE

MLC No. 0407

MEDICO LEGAL REPORT

NAME: ARMAN D. DALISAY AGE: 61 years old

SEX: Male CIVIL STATUS: Widower
OCCUPATION: Bookkeeper ADDRESS: 56 Selga Street, Bankerohan, Davao City

ALLEGE DATE /TIME AND PLACE OF INFLICTION: On or about 6:30 AM,

September 20, 2019, near McDonalds Bankerohan, Davao City.

DATE OF EXAMINATION: September 20, 2019

FINDINGS:

--SERIOUS PHYSICAL INJURY--

CONCLUSION:
1) Above physical injuries are found in the body of the subject the age of which
is compatible to the allege date of infliction.
2) 10-inch wound on his left hip, a fractured left leg and two broken ribs.
3) At the time of examination, the above physical injuries will require medical
attention or will incapacitate the victim for a period of not less than 30 days
but not more than 60 days.

REMARKS:

Advise to rest for 4 weeks or more or until fully healed.

DR. JHON DAVE MACATOL

City Health Officer