Police are still on the hunt for a prisoner who managed to escape from custody while on a toilet break.

That was despite him being secured to a rail and Corrections staff standing guard outside the bathroom waiting for him, Stuff reported.

Uditha Punchihewa, 31, has been on the run since October.

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Police issued an alert with a mug shot of the man, who they described as dangerous and stressed should not be approached.

Punchihewa is said to have been inside a bathroom at Hutt Hospital - guarded by authorities - when he managed to get free and sneak out a side door, Stuff reported.

It is not known why he had been admitted to hospital, but that he had been wearing a hospital gown at the time.

Police would later find that he had changed into ordinary clothes taken from a clothesline from a house near the hospital, the publication said.

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The case was highlighted on an episode of Police Ten 7 on Thursday, October 17 - about a week after Punchihewa fled authorities.

Police say he has contacts in Wellington, Hutt Valley and Wainuiomata.

It was initially thought he was driving a silver or grey 1999 Honda Odyssey. However, police later found that vehicle.

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Anyone with information on his whereabouts is being urged to contact Police immediately on 111 or anonymously via CrimeStoppers: 0800 555 111.