If the patient or family were unsatisfied by the care given by the physician, they could take this document to the local Hakim Bashi, who would decide on the merits of the complaint. If this official ruled in favor of the patient he might say something like the following quotation: "Exact the blood money for your kinsman from the physician, for it is he who slew him by his poor skill and negligence."  If on the other hand, the ruling favored the doctor, then the patient was required to pay the physician's fees, which could be quite exorbitant.