案由：_______________________________________________________________________________________
审理时间：_______年_______月_______日_______午_______时_______分至_______午_______时_______分
讨论地点：___________________________________________________________________________________
主持人：_____________________________________________________________________________________
记录人：_____________________________________________________________________________________
出席人员：___________________________________________________________________________________
承办人汇报案情，讨论记录与决定：_____________________________________________________________
_____年_____月_____日