Pakistan’s former prime minister Nawaz Sharif has been declared an “absconder” by the government for violating the bail requirements by not presenting his medical report from his doctors in London, according to a media report on Wednesday.

Sharif, 70, left for London in November last for treatment after the Lahore High Court allowed him on medical grounds for four weeks. According to Sharif’s physician, the three-time PM is suffering from complex multi-vessel coronary artery disease and substantial ischemic and threatened myocardium for which he is due to undergo surgery.

“From today Nawaz Sharif is an absconder according to the law of land and if he does not return to the country he will be declared a proclaimed offender,” said Special Assistant to the Prime Minister on Information Firdous Ashiq Awan said at a post-Cabinet meeting press conference.

She said the Punjab government, which was authorised by the IHC to decide Sharif’s case on medical grounds, had written several letters asking the self-exiled former premier to submit his medical report from any hospital in London, but he failed to do so and only sent a certificate which was not accepted by the medical board.

“If he is seriously ill then why a comprehensive medical report is not being submitted to the medical board,” she added. “The medical board wants to know exactly about ailment of Nawaz Sharif and its treatment and due to his lack of response the Punjab government has decided not to accept Sharif’s application regarding extension in his eight-week bail,” Awan added.