Patel is due to face a retrial on charges of manslaughter of his 75-year-old patient Morris, who died on June 14, 2003, at the Bundaberg Base Hospital.
It has been alleged Morris was unfit to undergo an operation performed by Patel.
As part of the trial process, prosecutors must particularise what it was they allege Patel did to cause the death of his patient. They have already had four attempts.
During a brief hearing in Brisbane, Judge George Fryberg Fryberg struck out the latest attempt.
He ordered prosecutors to redraft the document for a fifth time and provide more details to Patel's defence team about Morris's liver and heart disease.
Patel's legal counsel this week had urged Fryberg to strike out legal particulars outlining how the Crown planned to run its case.
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