sheet no. of t.p.h. 152 m vel. nr van
TRANSCRIPT
T . P . H . 152 MSheet N o . o f
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K LIN IESE V E R P LE E G D O K U M E N T
G.P.-S. 042-0202 TPH 114/6
VORDERINGSVERSLAGToelatingsdata (voltooi slegs met loelating) No* Behoeftelys
1. Gebruik deurgaans diesellde behoette name/nommers soos aangedui op TPH 114/5.Temperatuur:<3fe) ^?<: Pols: ^d? Asemhaling: 1% 0 = Oorsigbeeld 5 =
Gloeddruk: ‘‘fO ll/V Velkleur: ^ j^ ( y " 1 11 6 = 2. Skrap opgeloste behoefte deur nommers hier lanqsaan deur te haal.
Urientoets: - f / Allergiee: ( j& J ^ ^ 2 = 7 ='3. Moenie deurgehaalde nommers hergebmik nie tensv 'n
opgeloste behoefte weer aktief raak.
4. Verwys in onderstaande verslag slegs na behoelte nommer.Massa: , Lengte: ._- 3 =
4 = T = Tussentyds
Datum Tyd
'■O i - is - u : i 5
(5?<o i c J U
J M I K
‘ No.
D .....
L o ^ - d .L ^ M ...... ................Q & x .g & J L ....................................... ..............................A - .................................... ‘ir is T / ^ g / <5h£-'..................................... ....................................................................................& G * L u C h J & £ 7 ! P * D S ^ r
L 0 £ ( ^ R c d \ . ... (M g J L ....S q^ u J /............................................ a t e L .......& $ c l £ o '"£ < = ,* 7
........ .............................................J O e k ......7 f * / ' t ................ / 7 .................. / O ................................ C "3 7 i - f t <Zo r r i'jp j* * tr>t~r~~ R nl q 7 f io * / / — 3 - ......T (X r ^ cu p t^ ...... ^
V / J Z ? ............J olE P ^ T S ............o 7 ....'Z r W ^ Z I 'Q r < ^ ^ ..... f ............. t S i lS s w .....ib r f t ....... .................................................................................................... - ^ r r ~ t4 A <2L j....e 7 o .........« / ..... s . .........S f i^ d S z ..... c A ^ / i c ,. ^ L J L t ^ j h jL r D L ....C o ^ J ^ ~ ........................
( K & = L z ) ... jC I L . . . . . /B u ...... ................................................................ c r ^ / c o
\^ d L ..... ...................................... ......................................................................................................................................................................... ?■ ?
Progressiewe notas met betrekking tot behoeftes/tussentydse inskrywings
M r^ .L M .4 .......................................................... .....................G z jg L ....
i. e f i. L ..........................J g fL ....■ tfu rfG .Z ..... q J m e S k e & g * * ^ ^ ...................S .... • & ....^ . c ^ r £ : Z
Handtekening en rang
Pasientlent: J ^ r<ZrY,& _ f / ( D ^ ^ x - R e g . No: 5 / Saal: f .U iL Dr.
1 £ j& s 2 1 .
SLEGS VIR TUISVERPLEGINGFOR HOME CARE NURSING ONLY (01-18 plus E1)MOONTUKE NOOOLOTTIGE ONVERENIGBARE MEDIKASIE EN
8. HOE RISIKO FAKTORE • POTENTIALLY LETHAL DRUG INCOMPATABILITIES ANO HIGH RISK FACTORS
EMOSIONELE TOESTAND EMOTIONAL STATE
ONOERSTEUNING TUIS SUPPORT AT HOWEKortlsoon • Cortisone
Hanmophilia f \ j j f i (Veralbybajaardasen verzwakles) (Especially old and trail parsons)Hemodllo •
Porfirie • PorphyriaNOTAS OOR SINTUIGLIKE FUNKSIES NOTES ON SENSORY FUNCTIONSAsma • Asthma
VisiaVision
GohoorHearing
VERPLEEGPLAN NURSING PLANGESONDHEIDS8EHOEFTES
HEALTH NEEDSHarvKokanlng
SignatureDatumDais
( o u + f r b h J A fa & c A
\k j_x_6 . _ ^ __ Q u ~ i . '
SLEGS VIR TUISVERPLEGINGFOR HOME CARE NURSING ONLY (B M 8 plus E1)
MOONTUKE NOOOLOTTIQE ONVEREl ■ iBARE MEDIKASIE EN 8. HOfc RISIKO FAKTORE • POTENTIALLY LETHAL DRUG
INCOMPATABILITIES ANO HIGH RISK FACTORS
EMOSIONELE TOESTAND EMOTIONAL STATE
ONOERSTEUNING TUIS SUPPORT AT HOMEKortlsoon • Cortisone
Hemofllle • Haemophilia (Veral by b«l gardes on v6mw»kl«s) (Especially old and Irall persons)
Porfirie • PorphyriaNOT AS OOR SINTUIGLIKE FUNKSIES NOTES ON SENSORY FUNCTIONSAsma • Asthma
Ander • Other VisiaVision
GohoorHearing
VERPLEEGPLAN NURSING PLAN
GES0NDHEIDSBEHOEFTE: HEALTH NEEDS
HarvJtokenlngSignatureDatum
Date
J C j-
) • i e > ^ /s< > s S u ^ jS .____
G.P.-S. 0*2-0236 TPH 3 (b) .
PROGRESS NOTE . VORDERINGVERSLAGH O SPITA L W A R D H DATE A D M ITTE D ;o ~ / V
.......................................... .........................HOSPITAAL S A A L r r r^ T . ...... DATUM TO E G E L A A T .......
Please turn over • Blaai asseblief om
6 <1 3 S 6
G.P.-S. 042-0183 TPH25
BUITEPASIENT- EN/OF ONGEVALLE AFDELING UT-PATIENT AND/OR CASUALTY DEPARTMENT
Hospitaal • Hospital
.......... ..........
a . J L ...L a s . .......... .............................................. £ 4 :nm.p.m.
Naam voluit Name in full
'V t?HuwelikstaatMarital state.. ....... X . ................ .... Sex..
Geslag RasRace.
Beroep OuderdomOccupation............................................................................... Age...........Naam en adres v jn werkgewer/Persoon verantwoordelik vir betalina van Rek. Name and address of employer/Person responsible for payment of Account.
/L
Naam van siekefonds S/F. No. Name of sick fund............................................ S/F. No..,
* JaarlikseGesinsinkomsteuitallebronne • Annual familyincome from all sources
Broodwinner • Breadwinner............................ R .............................................
Vrou • W ife....................................................... R....
\ Ander afhanklikes • Other dependants........... R ....\\ Totaal • Total R .............................................
\ a l persone in gesin (broodwinner insluitend) /'iber of persons in household (including breadwinner)....:................................
\uderdomme van afhanklikes j _'aes of dependants............................... ..........................................................
'afhanklikheid P> / y - V dependence............................................................................................)es van 16 jaar en ouer wat selfooderhoudend is, moet uitgesluit
/.lildren of 16 years and older who are self-supporting are to be
van ongeluk/besering Tyd jf a c c id e n t/ in ju ry .............................. Time
jstuurdeur nt in by
Opnemingsbeai Admitting Officer...V
lent/injury..................................... lim e.................................................ur ^ Geteken/ ^ / " >.. T Z p -~ r^ y -.... Tfe, „V r. Signed . '
Die aard van die pasient se siekte mag vir rekeningdoeleindes vrygestel word. The nature of the patient’s illness may be disclosed for accounting purposes.GetuieWitness.
Geteken Signed...
Datum • Date.............
KlagteComplaint
Huidige siekte Present illness
ONDERSOEK/BEHANDELINGA/ORDERINGEXAMINATION/TREATMENT/PROGRESS
Datum • Date
i % r
. — - •» >’■ ,\ V . i J
Pasientno. Patient No.
5 1 4 4 5 / ^ ~2_
DatumDate
Opgeni Adr
j s a ibitted / 6 . I f .
vm.a.m.
P .
IndelingClassification. J £ LDr.
SLEGS VIR AFSKEURSTROKIES (Kwitansies en rekening)
FOR COUNTERFOILS ONLY (Receipt and account)
Datum • Date Datum • Date Datum • Date
d o C <flj flj ^ OCD C 5 ‘ w. 3 <a CsS ‘-
H*a
gco'
OO o<oj w $CO c 5 £
3XP c o.
llA
o
CO — J
-£=> c n ro r o
3 a s
p L ‘
£>h0Ci
o
GO — J
-P *ro-P *i—^
Hi? - > s * } %
ervolgagterqpr • Con|i/iu e £ m e r\e a ^^
g p -s o-2-ci:s V O O R S K R I F • P R E S C R I P T I O N , . ^ 1 t p h i ?2
-HOSPITAAL
6 *» z1
AFDELING.HOSPITAL WARD.
Pasient OuderdomAge
IndelingClassification
Pasientnonmer Patient's Number
DatumDate
Voorskrif besonderhede Details of prescription
Apteker..Pharmacist
equiva
of ekwivalent
or equivalent
of ekwivalent
ot ekwiva!
of ekwivalent
of ekwivalent
As h.erdie woorce "of ekwivalent" nie deur die voorskrywer geskraap word rve dui c:t aan da! die goedgekeurde generiese ekwivalei u^tcereik mag word.
If the words "or equivalent" are not deleted by the prescriber this will ind'Cate tnat the approved generic equivalent ma/ be supplied.
HOSPITAAL HOSPITAL.. .......................................................................................................
\ Q S Qm ^ - c , M 0 !(• j O V ^ A
P|J,Afdeling Ward.....
TPH 3
Pasient • PatientGeslagSex K
VF
Oud.Age. &
Pasientno. Patient’s No.
Indeling | j""| Classification.............
::: • . . : • f ■ ".: n . f : .X
ADDRESSOGRAPH■:.K- :
' Geneesheer • Doctor' V - •’
‘ - r • ••------ ■ Foon . . . . . . t ■Phone • ‘ . c .
OPNEMING • ADMISSION
2 s s ± £ ? . .............. ...$ j * r ..../< f f k :/
Voorlopige diagnose Provisional diagnosis.........
Handtekening van geneesheer (indien beskikba, Doctor’s signature (if available).
Datum van ontslag Date of discharge...
’........L O M L L L +
Finale diagnose Final diagnosis...
Handtekening van geneesheer Doctor's signature......................
HOSPITAALBEHANDELING GEWEIER • REFUSED HOSPITAL TREATMENT
Ek, die ondergetekende, verlaat die 'A ■ ' * [ / J lL s ^ -hospitaal op my eie verantwoordelikheidI, the undersigned, leave the................. ............................../ .............. "..... VSr:......................j..................Hospital on my own responsibility and
* ^ ---- ---- ^
3 ^ 2 S T n .. BS..K-AJ--...
en strydig met die advies van die behandelende geneesheer. against the advice of the attending doctor.
Getuies 1. Witnesses
Handtekening van pasient . Signature of patient............
IS O ________
DatumDate i d
K + 3 1
J 1^ - : . , ■ : r - , I ------------------------------------------------nf die pfeiSnt -I* ■* -■ i - • »'*.% f uit die latient..■Ja.-.Vtj..... y j ! ....... .V.x........ ..................... ................ ...........................1............................................. out of tl
Ek, die ondergetekende, neei _I, the undersigned, take the patient
i f
advies van die behandelende geneesheer. the attending doctor.
A -v >-hospitaa|.o^Tiy eiwverantwoordelikheid en strydig met die.............Hospital offfhy owrf responsibility and against the advice of~ — j j
Getuies Handtekening Witnesses 1.......................................................................................... Signature.......
Datum Date....
Tyd Hoedanigheid T im e............................ Capacity.........
Vir besonderhede van behandeling gebruik vorm T.P.H. 3 (a) For particulars of treatment use from T.P.H. 3 (a)
G - i 3 G ?
G.P.-S. 042-0183 3 0 TPH 25
BUITEPASIENT- EN/OF ONGEVALLE AFDELING OUT-PATIENT AND/OR CASUALTY DEPARTMENT
Hospitaal • Hospital
Naam voluit Name in full....... .CT7.HuisadresResidential address.
-Z -S -rS
/ < -
HuwelikstaatMarital state.................r/C ............... SexBeroep Ouderdom yOccupation.............................................................................. Age................Naam en adres van werkgewer/Persoon verantwoordelik vir betaling van Rek. Name and address of employer/Person responsible for payment of Account.
Geslag Ras y f Race.....
.am van siekefonds S/F. No. ,»ame of sick fund............................................ S/F. No..
Pasientno. Patient No.
IndelingClassification
iV92
h
5 1 4 4 6
Opgeneem Admil
&Datum Date it f
dmitted
vm.a.m.
nmP
/
Dr.
SLEGS VIR AFSKEURSTROKIES (Kwilansies en rekening)
FOR COUNTERFOILS ONLY (Receipt and account)
Datum • Date
Jaarlikse Gesinsinkomste uitalle bronne • Annual family income from all sources
Broodwinner • Breadwinner............................ R .............................................
Vrou • W ife...................................................... R
Ander afhanklikes • Other dependants........... R
Totaal • Total
/’ Getal persone in gesin (broodwinner insluitend)Numbierof persons in household (including breadwinner).......Meld ouderdomme van afhanklikesState ages of dependants...................................................................Rede vir afhanklikheid --------- .Reason for dependence.............................................. .............. ,......
(* Minderjariges van 16 jaar en ouer wat selfonderhoudend is, moet uitgesluit word).("Minor children of 16 years and older who are self-supporting are to be excluded).
Datum van ongeluk/besering / y / \ Y t o .* ty d D^-te of accident/imuc^?!............... . . . . .^ . . Z . ..... Timei ^jstuur<JeOf S & t g y , , Gete
^ e n t i n b y ............................ ..................... Z E . . . . . Signeo/.
Opnemingsbeamate ’ Admitting Officer.'lS
• o
l -oo oo0 2
o
Die aard van die pasient se siekte mag vir rekeningdo^leindes v fy ^s te l word. The nature of the patient's illness may be disclosed for accounting purposes.Getuie GetekenWitness............................................................ Signed......................................
Datum • Date
KlagteComplaint
Huidige siekte Present illness
ONDERSOEK/BEHANDELING/VORDERINGEXAMINATION/TREATMENT/PROGRESS
Datum • Date/
Datum • Date Datum • Date
Vervolg agterop • Continued overleaf
G ? -S C-2-01 '6 V O O R S K R I F • P R E S C R I P T I O N
Pasient • Patient
-HOSPITAAL AFDELINGWARD.............
Pasier.tnommer OuderdomPatient's Number Age
3 1 £ 4 G
A
IndelingClassification
o! ekwivalent
or equivalent
of ekwivalent
or equivalent
of civ.v.valent
or equivalent
of ekwivalent
or equivalent
of ekwivalent
or equivalent
of ekwivalent
or equivalent
of ekwivalent
or equivalent
of ekv.ivale.it
:r equivalent
of ekwivalent
or equivalent
o ' e<‘.vsva:en?
Or 6CJ!VSi9"t
As hierdie woorde 'o f ekwivalent" nie oeur die voorskrywer geskraap word n.e du: d t a an dat die goedgekeurde generiese ekwivalent uitgereik mag word.
If ;ne words "or equivalent" are not deleted by the prescriber this will indicate that the approved generic equivalent may be supplied.
OUMA ELISA MOSOETSA b/female 29 years old. Moshoeshoestreet Boipatong. Unemployed. STATES UNDER OATH:
VANDERBIJLPARK MR515/06/92
On the 1992/06/17at about 21:30 I had just swiched off the lights Oi my bedroom when I heared a sound of the Police vehicle known as Caspir stopping at corner Lekoa and Hoshoeshoestreet about 20 meters from my house. I also heared the pressure of the Caspir doors had been opened I heared a sound of automatic rifles being fired. I did not peep through the window but hide myself under the bed. Whilst hinding under bed I heared male voices shouting in Zulu to the fact that the dogs must open the doors because they were shooting. At that moment I heared the doors being kicked and windows being broken. At that moment I heared a white male voice shouting in Afrikaans that we should open the windows. At the long ran they managed to open the doors and entered the house. On entering the house they were chanting Zulu slogans "Usuthu usuthu". They entered my bedroom switched on the lights and said that the dogs had escaped. They then left my bedroom and proceeded to the bedroom of my father Benjamin Hosoetsa and Solomon Mosoetsa. I then heared my brother Solomon Mosoetsa crying for help but the said group could not listen to his pleas. They damaged my pots, dishes and my glasses. The damaged is estimated at two thousand rands (R2000,00). * After the said group has left I came out of the bed and went to the bedroom of my father Benjamin Mosoetsa was lying on his back with chest stab wounds and both legs. On further examining his body I noticed that he was dead already. My younger brother Solomon Mosoetsa was crying with an open wound on the neck and one stab-wouhd on the stomach. At the later stage the ambulance arrived and transported the injured Solomon Mosoetsa to Sebokeng hospital but he was certified dead on arrival.
I know and understands the contents of thi- declaration. I have no objections to taking ie oath. I consider the prescribed oath to be binding on my conscience.
SIGNED.E. MOSOETSA.
VANDERBIJLPARK HR.515/06/92
OUMA ELISA MASOETSA b/female 29 years old. Residing at 660 Moshoeshoestreet Boi">atong. xSTATES UNDER OATH:
I may further state that after my father Benjamin Mosoetsa and Solomon Mosoetsa had been injured, I went to home 1183 Moshoeshoestreet to ask for help. When I went out of my home to look for help it was about 20 to 25 minutes after the attackers had left. Before I could enter the yard of house number 1183 Moshoeshoestreet I noticed a motorvehicle coming from the direction of Slovopark moving toward Lekoastreeet along Moshoeshoestreet. The light were not switched on except for park lights which were on. The said vehicle was moving slowly and when it was passing at me I could see that it was a Police Caspir. I may further state that the windows at house number 1183 Moshoeshoestreet were also damaged and no reply was received by me after knocking, and I proceeded back home. On my may home I noticed that the windows at house number 666 Moshoeshoestreet had been damaged and the house lights were on. I did not go to investigate what had happened at other houses but went straight back home. The abulance come after a long period.
I know and understands the contents of this declaration I have no objections to taking the Oath. I consider the prescribed oath to be binding on my conscience.
SIGNED, r E . MOSOETSA.
I certify that the deponent had acknowledged that she knows and understands the contents of this declaration which was sworn before me. The deponents signature was placed thereon in my presence at Delmas on 1993/07/21 at 12:30.
COMMISSIONER OF OATH JOHANNES MXOLISI MBEKA0163398-3DETECTIVE SERGEANT SA POLICE KHUMALOSTREET KATLEH0NG
•3.P.-S.06W121 GW7/15REPUBLIEK VAN SUID-AFRIKA • REPUBLIC OF SOUTH AFRICA
DEPARTEMENT VAN NASIONALE GESONDHEID EN BEVOLKINGSONTWIKKELING DEPARTMENT OF NATIONAL HEALTH AND POPULATION DEVELOPMENT
VERSLAG OOR ’N REGSGENEESKUNDIGE LYKSKOUING REPORT ON A MEDICO-LEG A' POST-MORTEM EXAMINATION
Doodregister N . /Q „ Death register N a 4 7 5 / 9 ^
Aan die Landdros van ^To the Magistrate o f .........................y ^ . E J f f l l J I P A R K .....................................................................................................................................
Ek, sertifiseer hiermee— I.................... f ir . . .N ie ro 3 r^ ............................................................................................................................................ do hereby certify—
(0 that at I?........ Sebokeng.....................................................
MANop die i q dag van on the...................................... ;....................day o f.....die liggaam vanI examined the body o f............................ondersoek het;
(ii) dat die liagaam vir my geTdentifiseer is— that this body was identified to me—
(3) byUr. . . K o n s t . . I $ r a “ .....
JUNIE 9 2 beginnendeom 0 5 : 0 0 .19....... commencing at ............... h..
van..of....van
.of....
en
(b) deurby......................... ...........................................................................as die van „ _as being that of....S a n p a a ..S Q m iQ n .. jy iQ s o e .ts Q ...... ...............4*ie se ouderdom na bewering/volgens skatting
Shose reputed/estimated age was................................. .<s/...y§&rS ..at die dood plaasgevind het—
that death took place—(a) soos meegedeel op -i q q p _ _i p
> informed o n ...........................................................................................
S -A-PGlisie ■••Sebokeng.....................; and
was,
asiom
.at....2 2 . 30
(b) soos bepaal met ondersoek ure voor n y ondersoek; as determined at examination................................... hours prior to my examination;
(iv) dat die vernaamste lykskouingsbevindings in verband met hierdie tiggaam die volgende was that the chief post-mortem findings made by me on this body were
.......Sfcefikwonci...CL)....iJQ..borskas...-..Ye.rl.Qop...de.ur...diafragma..to.t...in..lewer..en..iiiaag Steekwond.in.buik
(v) dat, as gevolg van my waarnemings waarvan 'n lys hierondervolg ek besluit het— that, as a result of my observations a schedule of which follows, I concluded—
(a) dat die dood iq q o _ r v ; _ lR voor my ondersoek plaasgevind het; en that death had occurred.................. ....................................................................................... ........... prior to my examination; and
(b) dat die oorsaak/oorsake van die dood die volgende was q to o U m n H i n l o w p r p n h n i uthat the cause/causes of death was/were thelollowing.........? ..............................
Sehokeng op hede die this.............. 19 dag van
. day of.... J u n ie .19 92GedateerteDated a t.........Handtekening Signature.......
Designation.... .'......P I S T I ^ . G E I ^ S H ^ K R
Vir instruksies betreffende die voltooiing van individuele paragrawe van hierdie verslag moet afdeling 2A.10 van vorm Ges. 1 (a) geraadpleeg word.
For Instructions as to the completion of Individual paragraphs of this report, section 2A.10 of form (Health) 1 (a) should be consulted.
Kwalifikasies Qualifications Amptelike posadres Official postal address.
M.B.CH.B.Mprak.Med.M.F.G.P. (SA) P/SAK X032 Sebokeng
GW7/15
ly» Waarnemlngs | Schedule ol Observations 475/92ALQEMEEN/GENERAL' ■ W . ...— ...... m KST............ kg g g T s k r a a l .... a T ” Gced2. Spesiale kJentifiserende kenrnerke
Special identifying feature - ................................................ G e© R ............................................................
3. Sekonddre nadoodse verande ngs Geen / Secondary post-mortem changes....................................................................................................................... /
4. Urtwendigt, 'oorkoms van liggaam en toe stand van ledemate External appearance of body and condition of limbs.................
a)..Steekwondl..(L) aan kant van borskas•b.)....Steek^and..in..buikhio.lte....-...(.L.)....§y..c ) 7 s te e k w o n d e i n ( L ) b o - b e e n
.............................. d ) ...... 2 . .S te e k w o n d e _ i n b o ^ b e e n
...............................e .)......2 .. js .te e k w o n d e ..j.n ...C R J ...b a n d ..e n ..y » Q ra o j)..
KOP EN NEK/HEAD AND NECK
5. SkedelSkull......... n o r m a a l .............................................* ..............
6. Skedelinhoud f Intracranial contents.......... ...................................................................
7. Oog-, neus-en oorholtes Orbital, nasal and aural cavities.
. n o r m a l ............................................. eS S . .
8. Mood, tong en farinks n o rm a a l , , " Z '7 , .........."Mouth, tongue and pharynx...................................................
9. NekstruktureNekstrukture . rNeck structures...........5®™®” ................................
2
GW 7/15
Doodregister NDeath register ______4 7 5 / 9 2
BORS/CHEST
10. Borskas en diafragmatiorsKas en aiatragma , , , , , , , . _Thoracic cage and diaphragm...... S t e e l ^ n d _ . p e n e t r e e r b o r s k a s ; e n d ia f r a g p ia
..... Maag..direk...dfiur,..diafr.agma..Qp.enijag..................
11. Mediastinum en slukdermMediastinum and o e s o p h a g u s ........
12. TrageaenbrongiTrachea and bronchi.............................. N o r r n a a l ,
13. Pleurae en longe:Pleurae and lungs:
RegterRight......nonoaal.
Long massa .......... Lung mass..............
LinkerLeft..................................... normaal
14. Hart en perikardium Heart and pericardium . n Q C T ja a i...............n . W ..............
Long massa........ g
Hart massa
15. Groot bloedvateLarge bloodvessels................... normaal..
BUIK/ABDOMEN16. Buikholte . . . . . . . . +
Peritoneal cavity... Bloed in Duiknolte — 200ml
17. MaageninhoudStomach and contents...........Ver teer d e ..kos... in ..xnaag..e n ...steekwond..in ..ro aa g .
18. Derms en mesenteriumIntestines and mesentery................................normaal..
19. Lewer,galblaasengalbuise cm___ i _____ j „ _Liver, gall-bladder and biliary passages..... ..
Lewer massa........a
20. PankreasPancreas.......................
normaal21. Milt
Spleen............................ '
Milt massaSpleen mass...................................................g
GW7/15
Dood registerDeath register r"°-___________4 7 5 / 3 ?
22. ByniereAdrenals...........................
RegterRight.... t t Q m a a l .
f f l . . n o r m a a l
23. Niere en ureters:Kidneys and ureters:
normaal /
Niermassa
Linker *
Nlermassa............... 0
24. Urienblaas en uretra _ .Urinary bladder and urethra...........S .tee iw O n d ...ija ..b .X a aS .
25. Bekkenwande Pelvic walls...........
26' § £ £ £ ? . ..................................... ................. n o m a a l
RUGGRAAT/SPINE
2:' SBffl.™-.normaal
28. Rugmurg Spinal cord
MONSTERS GEHOU/SPECIMENS RETAINED
Aard van monster Nature of specimens
Aard van ondersoek vereis Nature of investigation required
Beskikldng oor monsters Disposal of specimens
......................................................................................B l o e d ................................................... A l k o t i Q l . . < s n . . g r Q f i R e . r j , n g .......................... .............. a c s . . . . « B S j 0 a a . ................a a s a a x . ........................................
VERDEREWAARNEMINGS/ADDITIONAL OBSERVATIONS
G.P.-S. 002-0181 SAP 380
SUID-AFRIKAANSE POLISIE
Staatslykhuis/RGL.............................Sebokeng..................................................... Reeks No...............475/92................. .
BEEDIGDE VERKLARING INGEVOLGE ARTIKEL 212 (7), WET 51 VAN 1977j l t r ' Ek,................Jacob ....M akhubu...................................................................................... ‘ verklaar onder eecbtoetaesltgx
Ek is 'n ....... k .9 .a3t3bs.l.................................................................. in die Suid-Afrikaanse Polisie en werksaam by die| A staatslykhuiste....S eboken g .......... ............................................................ a s ’n regsmediese hulp.' / O p ............. . om....9®:...‘*9 . hetekbydieverrrigting vanm vam pspliptea|daarenpliqteinverband(culdaarmee, die lyk van ’n *rr an/\£$fttgntvang van ^.r.............
........... L e J lo u x ..............................................................................................................................................................................Ek hetdie lyk *na/in die staatslykhuis te .......Sebokeng................................................................. 'vervoer/geplaas vir
veilige bewaring en lykhuisreeksnommer................47.5/92............................... ......... daaraan toegeken en ’n hangetiketmet hierdie nommer daarop aan die lyk geheg.I tEkhsidtsi^ii^stexxrigecKiiftaGrataHstigiMs^^ ................................ ......................................... ...............................
/ r > ...................................................................................................................................................................................................................................................................................^ ....................................................... .................................................................................
O p ... iS ^ 9 S $ ..? . ................ ente..?®.^9^®r>w.......................................................wasdie lykaanm yuitgew ysdeurLe fu A b in a a r M osoe tsa
en uitgeken as die lyk van..... S a n p ie ... .Solm on.... M oso e tso ..............................................................................................
$Op..................... ......................... en te ....................................................... ...............................w as die lyk aan my uitgewys deur
(adres)..................................en uitgeken as die lyk v a n .
/1 O p ... 1 9 9 2 /0 6 /1 9 .............................. h e te k d ie ly k a a n d r ..........Niemannt ^ ^ d ie 'distri
A glonii
l i
distriksgeneesheer&Jaatapatstoog, verantwoordelik vir die lykskouing op die lyk, uitgewys en uitgeken as die lyk v a n ..............NR-... . .4 7 5 /9 2 ........... ,S i« i» M , .. ■ fin .1 ............................. ....................................................................................
Terwyl gemelde lyk deur *my vervoer/onder my sorg was, het dit *geen beserings en /o f letsels opgedoen nie/die Q lg s o c te te a e ^ s t^ ifc fe b e te e b tf lp s s e to e n .................................................................................................................................................... ........
"Die inhoud van hierdie verklaring is na die beste van my wete en oortuiging waar.
Ek is bewus daarvan dat, as dit as getuienis voo'gele word en daar kom iets in voor w at ek w eet vals is of wat ek glo nie waar is nie, ek vervolg sal kan w ord."
1. Ek is vertroud met die inhoud van die verklaring en begryp dit.2. Ek *het geen beswaar/tosldsBsarasr teen die aflegging van die voo^ueskrewe eed. “. Ek beskou die voorgeskrewe eed as *bindend/sifoe6cSW3iiiHSt vieF y f i f wete'.
ekening van regsmediese hulpNo. ........ Rang
/ J Ek sertifiseer dat die verklaarder erken dat *h y& * vertroud is met die inhoud van hierdie"1verklaring en dit begryp. ./H ierdie verklaring is *b e e d ig /5 jw ^ ig > o o r my en verklaarder se 'h an d teken in g /^ y^ g g j^ g j^ Q ^ c is in my teenwoor-
Jy digheid daarop aangebring te .„„"® £® ~??® ..-..... ....... ....!.. (plek) op : .? ^ ? ® /.f? . . . . . ; . : . . .v (d a tu m )o m ^ .. : ®?....r (tyd).
.............................................. ...........................................................................................In drukskrif: • (H andtekeb^ffKom m issaris van EdeVoile voomameen van ....................S IM Q N....H O A BI......................................................... ...................... ..................... .................. .........Besigheidsadres (straatadresvan polisiestasie)....S.UXD...... AFRIKAAHSE.. P O L IS IE .. MQSHQESHQE...................................................... .S.TRAA.T.... .SKB.0JKKNC.......................................................................................................................................................................
Rang...K.ffi?TABEL.............................................................................................................. .'............................... Suid-Afrikaanse Polisie
’ Skrap woofde nie van toepassing nie.t Weld omstandighede waaronder aangetref en fisiese eienskappe van lyk (bv. waar gevind, beserings, letsels of toestand, ens.). t Skrap paragraaf indien nie van toepassing nie.
G.P.-S. 002-0178 SAP 377
SUID-AFRIKAANSE POLISIE
UITKENNING VAN LYK
‘Stasie/StaatslykhuisSebokeng.............................................................. ';*MR/Reeksno.~„..435/92.Indrukskrif
£ |(f ......................... L e f l i ........A fc£ fli3 !iK ....K 9 !& 9S J fe?1................................................................................................................'Verklaar onder eedfcUWSJ> w Verklaar onder eedwWSJgc
“ n\ is’n\olwasse/miPRS8f}9f}g€P««»ante/Swart/A8< te€fl g*manflWW^c>onagtigte.:.:;®M?....................................S to c p .e .v iU s ...............................................................................................................................................................................................................................
Op ...Jl99£/.Qf?/A.9................... ......... het ek by die Staatslykhuis...... .^.tokeng...................... ..........
Q ■ die lykvan ’n •Jg|^/Swartjjy g a a g i ' m a n ^ 59y a n Vegsmediese-assistert.v.....^;.* ^ ^ . . . . . . . ....
• .....................................................uitgeken as die lyk van.........Sarapie... SoLnon Mosoetso................................................. .....................
Besonderhede van oorledene: t = 5 •*. - ’
1. Identiteitsnommer..... ..................................................... 2. Datum van geboorte.... *965/94/27 .3. WoonadreS.....660 Moshoeshoe s tra a t Boijpatong,..................................a?.?.:..:;:-.......
4. Werksaam te.....Kerkloos................................................................................................
5. Verwantskapaanverklaarder.;.;.W.«««??......................... 6. Huwelikstatus()fl- 7. Naam en *woon/werksadres van oorledene se ;^& 3ggBegi a3flgg9teAfader/njfl^^
fSffWfSflid....................Lef\i . Abinaar Mosoetsa............................................. . .v . . . . . . . . .............................6149.,, S h a ^ e y ille .........................................................................................
"Die inhoud van hierdie verklaring is na die beste van my wete en oortuiging waar. ; ■ • 'Ek is bewus daarvan dat, as dit as getuienis voorgele word en daar kom iets in voor wat ek weet vals is of wat
ek glonie waar is nie, ek vervolg sal kan word.”1. Ek is vertroud met die inhoud van die verklaring enbegryp dit. - . ■ • -:T
‘ 2. Ek het aeen beswaar/hebbeewaer teen die aflegging van die voorgeskrewe eed. *3. Ekbeskou die voorgeskrewe eed as bindend^enectoaiteiKlvir my gewete.
Hanotekening/duimafdruk/merk
*ri' sertifiseer dat die verklaarder erken dat hy<!sy vertroud is met die inhoud van hierdie verklaring en dit begryp. Hierdie verklaring is beedig&ewefiitg voor my en verklaarder se handtekeningidufflaflklodateefk is in my
teenwoordigheid daarop aangebring te .../ J^ o ^ e n g ........ (plek) op .^».9^/.^?;v.;.';.:/.f..::.-..:v.::..........:r(datum). -
o m ........“ • • • • • "” ............. m - t o '
(Handtek^ogj Kommissaris van Ede
Voile voorname en van.................. simom.— h o a b x ...........................................
Besigheidsadres (Straatadres van Polisiestasie)...sui&....j^krikaahse.polxsie.moshoeshoe.STRAAT SEBOKENG ~ t
Amp (rang).. . . . . . . . . ........... .. - “* Skrap en parafeer woorde nie van toe passing nie.
GP.-S. 002-0179 SAP 378
SU lD -A FR IK A A N S E POLISIE
Staatslykhuis.........SehQkeiXg..//......./i/.L.';!:-..?. Reeks
BEEDIGDE VERKLrARING INGEVOuGE ARTIKEU2 1 2 \ 4 ) , ]WET51-VAN 1977
Ek Albertus Stephanus Niemann-i;;’ ;.cl (voile oomame en van)
M.B.CH.B.Mprak.Med.M.F.G.P.(SA)(kwaiifikasies)P/SAK X032 Sobokeng
(amptefike adres)
‘verklaar a ‘e '2'
Ek is m diens van die Staat as ’n ‘distriksgeneesheeripaiotocigcte ..................... ...............
Op - 1992/06/19 ' 5 ? j i n .<.~ ;................. ...................... . is die lyk van *n *ffiSffie/Swaddfleadiog£x
Aw6r *m an/VW W iet hang-etiket genom m er D R ...... aari my uitgewys deur
kst. Makhubu
en uitgeken as die lyk van ...... ....................................................................................................................................................................
iqo p/nfi/iQo-’ s \ O p i ’.v.-.i1. : * het ek 'n lykskouing op die genoem de lyk uitgevoer en m y bevindings op'aangehegte vorm (7 /15) aSngeteken, welke feite ek vasgestel het tieur>’n ondersoek wat bedrewendheid in *biologie/anatomie/en patologie vereis. -rr-.o:z^3 :r> a ?<•' : jp y t
1. Ek is vertroud met die inhoud van die verklaring en begryp dit."> 2i 'o:-' :o .."r brr> w; : r2. Ek het *geen beswaar/jnstl^Q OttOQt teen die aflegging van die voorgeskrewe ^
3. Ek beskou die voorgeskrewe eed *as bindend/pio a & hiBdwMtvIr my g e W e t ^ ^ ^ - ’ - • lO ’t w -) - I
Distriksgeneesheer/Patoloog
c - f -'Ek'sertifiseer<dat 'die verkla&rderi'erkeri dat h y /s ^ e r tro ilc o met die inhoud tfan^ierdie" tferklaring'en dit beqryp Hierdie verklarinq is beediq/Uocw OBXvoor my en verklaarder setiaridtekening is in m yteenwoordigheid daarop aangebring. • -c
Datum .....1.9 9 2 /0 6 / 1 9 ............. ................................... ........ertteO i novee'.mrrioo V J Kommissaris van Ede
Plek.........Sebpkeng...................................... ....... ....................................................
Voile voomame en van (Orukskrif>>..... ...........
Besigheidsadres (In drukskrif).....S ^ . . . A r a K ^ ^ P < ^ S I l
f Amp ( R a n g ) ...................................................................... S.A. Polisie— Republiek van Suid-Afrika
* Skrap woorde nie van toepassing nie.N.B.—Skrappingsmoetsekuurgedoenenveranderingsmoetgeparafeerword. : >:• r ; v -
G.P.-S. 002-0181 ^ _ SAP 380* * o M r J t i U
H l f 3 ]
H r '
SUID-AFRIKAANSE POLISIE
Staatslykhuis/RGL................................. ,5 « b o k e n g i............................................................ Reeks N o .................
BEEDIGDE VERKLARING INGEVOLGE ARTIKEL 212 (7), WET 51 VAN 1977Ek....................Jac.Qb.... MaKhub.u.................................................................................................. ‘ verklaar onder e e d S e ^ B fi^ xEk is ' n.......^.P.rtstabel................................................... .... . |n ^ g^d-Afrikaanse Polisie en werksaam by die
)/ j staatslykhuis te.....?®£®H®*?8.................... .............................................................. a s ’nregsm ediesehulp.
/ / , Op..../-? /...........................om....??®: ...*9. het ek by die verrrigting van mvampspliate aldaar en pligte in verband((^^w aarm ee,dielykvan ’n*Rleri<e/Swart/AlBa^bbBXEfcj*$*man/vraDtantvang van * . . . ; .........
.............L e .R o u x ......................................................................................................................................................................................
Ek het die lyk *na/in die staatslykhuis te...... SebcJkena.............................. ...................... . *vervoer/geplaas virveilige bewaring en lykhuisreeksnom m er.................. r r .7 .5 /9 2 .............................................. daaraan toegeken en ’n hangetiketmet hierdie nommer daarop aan die lyk geheg.j |Ekk«lxJg j0 DDBfa»xadggtgt8XKaBapwfcgtaptgnQ gqpO gf............................. ................................ ......... ....... ..........
L W 2 / W / 1 9 .....................................................................
Lefu Abinaar Mo 6149 Sharpe v i l l e
Op....?,.???^f?®/^.r!................... en te...?.®*??!?®1? * ............................................................. was die lyk aan my uitgewysdeurLefu Abinaar Mosoetsa(adres).en uitgeken as die ly k v a n ........S a m p le .... S o lm o n .... HQStte.tSQ.
tO p .................................. en te ................................................................................ .......................was die lyk aan my uitgewys deur
(adres)..................................en uitgeken as die lyk v a n .
)
I. Op . . .1 9 9 2 /0 6 /1 9 . ............................ het ek die lyk aan d r .......... W iem apn ................................................................... .............
pt**^die *distriksgeneesheer/JP9S(8pSRffi5og, verantwoordelik vir die lykskouing op die lyk, uitgewys en uitgeken as die lyk van..... N R 4 7 5 / 9 2 .......■n Mwwnrit iw n ............................................................................................................................
Terwyl gemelde lyk deur *my vervoer/onder m y sorg was, het dit *geen beserings en/of letsels opgedoen nie/die
o & X K t e i » a g j « 8 3 t B ^ ^ ...................................................................................................................................................................................................................................................................................................................................................................... ..........................................
"Die inhoud van hierdie verklaring is na die beste van my wete en oortuiging waar.
Ek is bewus daarvan dat, as dit as getuienis voorgele word en daar kom iets in voor wat ek w eet vals is of wat ek glo nie waar is nie, ek vervolg sal kan w ord .”
• ' •••••• r.', ■ ■' *A1. Ek is vertroud met die inhoud van die verklaring ^n begryp dit. -." Ek *het geen beswaar/taatfxtesooac teen die aflegging van die voorgesKrewe eed. . ' i.-’. '’,. : ■
Ek beskou die voorgeskrewe eed as 'bindend/oisttifcibttfltaodcvir wete.
Yndiekening van regsmediese hulpNo. .%£>}'..rY......... Rang
/ I Ek sertifiseer dat die verklaarder erken dat *hy/s$tvertroud is met die inhoud van hierdie verklaring en dit begryp. ' .yflierdie verklaring is 'b e e d ig /^ g ^ U jh ^ o o r my en verklaarder se *handtekeninq/dw gay w k /ff> e ^ is in my teenwoor-v^^ iigheiddaaropaangebnngte..v .v .~„P® “ , ® ? ? . . i : . . ! . : . :(p lek)op o m * * (tyd).’
............................................................. ...................................................................... ........................................................................................In drukskrif: ... ;o- - . . '.•!> (Handteke/fagpKommissaris xfan EdeVoile voomameen van ......................S M Q N ....M O A B I.....................................................Besigheidsadres{straatadresvan polisiestasie)..... SUUQ.......AJRUiKAAl!l5.E..PPJt'I8IB..MQSHOESHpE.......................................................5.TRAAT.... .SEBOKRNG......................................................................................................................................................................Rang...KQff?.T.ABj?*‘................................................................................................................ '.............................. Suid-Afrikaanse Polisie
* Skrap woorde nie van toepassing nie.t Meld omstancighede waaronder aangetref en fisiese eienskappe van fyk (bv. waar gevind, beserings, letsels of toestand, ens.). t Skrap paragraaf indien nie van toeoassinq nie.
Collection Number: AK2672 Goldstone Commission BOIPATONG ENQUIRY Records 1990-1999 PUBLISHER: Publisher:- Historical Papers, University of the Witwatersrand Location:- Johannesburg ©2012
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