Amendment status not verified — confirm the current text below against the official source.
On the............day of 19 at [1] in the--------of [or village the sub-division of..............in the district of............ ] [separately from any other practitioner] [2], I personally examined the said A. B. and came to the conclusion that the said A. B. is a lunatic and a proper person to be taken charge of and detained under care and treatment.