Burial Permit for Puya Bakhriari

The document below concerns the case of Puya Bakhtiari.
Burial Permit
Emblem of the Judiciary
The Forensic Medicine Organization of the Islamic Republic of Iran
Forensic Medicine Department of Alborz, Karaj
Document No.: 1030
Date of Issuance: November 17, 2019
Deceased's details:
Identity: Verified
Gender: Male
Last Name: Bakhtiari
First Name: Puya
Father’s Name: Manuchehr
National ID No.: 0017407028
Birth Certificate Number: [Not specified]
Birth certificate serial number: 122766 D 13
Place of Birth: Shahriar
Date of birth: September 10, 1992
Age: 27 years old
Date of Death: November 16, 2019
Cause of Death:
Cranial disintegration caused by a gunshot wound
Burial of the deceased is authorized.
Issuer’s Details:
Name of Forensic Physician: [The text is illegible.]
Medical License No.: 41130
Signature of Forensic Physician.