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jl*critx iSa Cr. p.C.)i{,,*,$ri$ U"fif{r {,ift$q$r ,},ctq cl8 3iq.S) No. *065457

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(iv) *otherActs & Sections............,...... **i?-q

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Ees srDf+crq q 6-e-q """"F'3.(ai ooccurence

of Oflence . ,.I)n,*le*-ne,r* qzqr

irur'Lu #-""*ffitX8TfrdDate

rrom ..lLl.lLll? *:* { 0 { cu..61.*Time Period er$q qT-qc oNl's cdd

i-#srcfirii lAll'z-.tTf " *TimeProm .......*TirneTo.............

{b) Inforn:eiicn receir.ecl at p.S.Date qt''d

qHffr'firqn{:nFfif},rr.qr*--,t*' t'Ll''{?''fl1t- ' ....... oTime ......t.?t,icr Gener'i Diqr' pr,r^-^.

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;ffff"Xt:H:o."" . - \"r rryl%,t- *rirnc

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5. Place of occurrence : [a] o Direcl.ion ar **ldS

ee?'A bqrirr .,,\ n - -

td Distance fiom F.S. ,\-**-*

gp1fATF """""':"" "':""""""" *fiiritten / crat :qrftftqT rnp 3 t{EfF """"""""':' "wriLten / C,ral :

{b) fAddress;

Name of p.S. .......qffiq eid

Complainant /Informant :

e-flqqT{ / e-q{i

ta) Name........!l?r

{b} Father's/ H

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qT qffig aro-qrtql Etia;r

' - I / 'an1'-r1^rx/n accllseC with full particulars :

tietaiis of knor'r''ni suspected/ ulS*iii'l** ,lletaits or Krlor*rr1 "-

-{_;-_o,6!., 3fl+trsl €Wi aqqft-d ,

qiFo ere-dr-uri *?fi*rtil qr"i ,^^-,r

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Fofls! : 1'C

0065457,ns for delay in reporting by the Complainant/Informant :

-Jt *"**;6R -'t<"qi16 ffi]o-tqq : No.

c{f*tI:Particrilars of properties stolen/inr;olved (Attach separate sheet'

*$€'i&gt/ ei-e5 qTaq+t' dq?t(a (3{srrr 3irlials' {fiie 6TrrE q}"snr) :

if necessar--'i :

i2

10rTotal \ialue of proper:iies stolen/involved : """"""'

11

Cl"r-nTIE

13

Signature

?dfrTef<of the Office-in-charge' Folice Station

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Actir-l'rr lirli(it1 : Sirrce ttre above rel;ort reveals commission 01 ollenc'

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3l lot l.T6" ' I ' . ^. nnfiLtT*o2t'17 c. M. 07')-e-2008-5100,000\Fli.& lvs.-PA4. MLPM ^'^ RDMl2602l17 c. M. 67 e

lo. 733/33; dated 'l69;{1i and . r i" MLPM No' ffi-

L.G.D.i Nq. 733/33/ d.Atdd 11-12'47,r General wiih'the 9ovt.,of Maharashtra, Bombay's) FRM/1 462/1 elSTlilif4ateo 4-7 -62.1

-j l.1+. --....-- . ' ...i! .,:

fo:'ieq4)'/tr-s-zooa-sio6,s66\F1is.fu Ivsi'lo. zs3l3s; dated 16$i{T andd L.c.D.i r.ro.' zssrsgld.dtdF 1r.tn General wiihrthe Gtirrt.jif Mas) FRM/1 462/ 1 935{l,iiddted a-

-\.,-..-.. ' . '.}-'.rri ;p;gi:g_1i

nn**oranah#b#ro*"* examination held at Government MedicalCollege and Hospital,Nagpur Hfjo:H""on the dead body of Bhimsen Vishweshwar Patel tf Vj|39* Nagpur

CityTaluka Nagpur ,District Nagpur ,by Dr. R.D.Manwar

l, General Partieulars-

?, Sy whom was lhe corp$e*lbrought? |

l---> PC Yugal , B. No. 6355, P.S. Bajajnagar,NagpurI

3. By whom ldentifisd? J

II

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1. (a) By whorn was thecorpse sent?

(b) Name of place fromwhich sent.

(c) Distance of Placefrom which sent.

4. The, date, hour andminute of its receipt.

(a) The, date, hour andminute of beginningpost-mortern exarni-nation.

(b) The, date, hour andminute of endingpost-mortem exami-nation.

Substance of accompa-nying Report from PoliceOfficer or Magistrate,together with the date ofdeath if known. Supposedcause of death or reason,for exarnination

P.S, Bajajnagar,Nagpur

Surgery Casualty,Govt. Medical College, Nagpur

00 km

02:00 PM

02:10 PM1311212017

03:15 PM

As per Police inquest and requisition.Date and time of death is 1311212017 at 00:15 AMH/O - Road Traffic Accident on 12112117 at 10.00 am.Primarily treated at Carehospiral,Nagpur,then reffered to GMCH Nagpur

(al

(b)

(c)

6. lf not examined atDispensary or Hospital *

ll" External Examination-

$ex, apparent age, raceor caste,

Description of clothesand of ornarnents on thebody.

Condition of the clothes-Whether wet with water,stained with btood or soiledwith vornit or foecal matter.

Special marks on the skinsuch as sG?rs; tattooingetc., any malformationspeculiarities, or othermarks of identification.State of the teeth.

ln newly born infants, thelength and (if possibte), theweight of the body to berecorded together with thestate of the hair, nails andumbilical cord, its length,whether placenta isattached or not, if present,its size and condition.

Narne' of place wherelexanoined"

I

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Distance from Dis- Lpensary or t tospital- i

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Reason why the body Ilyas nct sent to theDispensary or Hospital.

Patient was admifted in y3f9-syrgery casuarty ,Govt. Medicar coilege,Nagpur on12112117 and died on13t12t17 at OO.iS am.

MaleAged about 81 years

Body wrapped.in Brownish blanket and gray shawl,_

Dead body identified by pC on duty

Not Applicable

7

Dryo.

q

Pfll No. :Ru€l2602t17Dated : 13l12lr-x

, Rigor Martis ' Well !ftarked,slignt or absent; whet!"rerpresent !n the wllole bodY or

. part only.

t2" Hxtent and slgns of decom-

- position, Pressnce Posl'' I'nortem lividitY of buttocksololns, back and tlrighs or arl$ I

other Part. Whether bullaepresent and the nattlre cf

' it eir csntained fiuid'Sonrlition cf the e uti*le"

d, warm or cold.

"t3. fs;trrffe$ ' Sfhsthsr natalralsr *wollen, state cf eYes,positior of tongue: naturenf fluid {if anY} oozing frommouth, nostrils or eafs'

{4. Condifion af skin - I1llarks

of blood etc. ln suePecteddrowning the Pre$ence orabsence of cutis anseri$ato be noted.

NaturalClosed,both black eYes Present.HazyPartially OPened

lnside the mouihng out from the nostrils.

Present and generalized

Nlo signs of decomposition present. Post mortem lividity present over back and

buttocks except at pressure point.

FeatureFrroe

CorneaMouthTongueBlood oozi

Dry and pale.

{5. Injuries to external genitals.Indication of purging

f 6. Pssifron of linbs -Especially of arms andof fingerb in suspecteddrowning the presence orabsence of sand or earthwithin the nails or on theskin of hands and feet.

17. Surtace wounds andinjuries - Their nature, posi-tion,dimensions(measured)and directions to beaccurately stated-theirprobable age and causesto be noted.'

lf bruises be present what isthe condition ot thesubcutaneous tissues ?

{lif.8.' (When injuries arenumerous and cannot bementioned within the spaceavailable they should bernentioned on a separatepaper which should besigned).

18. Other injuries discovered byexternal examination orpalpation as fractures etc.

(a) Can you say definitely

4

No injury to external genitalsNo purging

Semiflexed

1 Surlical intervension seen as stitched wound with 5 stitches , present over rightside of forehead,over righi eyebrow,vertically placed. . After opening the stitcheslacerated wound of size 4 cm X 1 cm X bone deep , margins inegulir.2 Abrasion of eize 2x1 cm present over right knee , transversely oblique, reddish "3 Therapeutic intervension seen as puncture wound present over bothwrists,dorsally , . (lntravenous infusion mark)

None

Yes , Antemortemthat the iniuri shown

and 't8 are ante morterninjuries?

,{** *t'..d, J

l3M No. :RDMt28A2t17 Dated : 13tt'P2}ry*

Examinatian-

Injuries under the scalp,their nature.

Sku/I- Vault and base-describe the fractures,their sites, diryren-sions, directions, etc,

Brain - The appearanceof its eoverlngs, size,weiglrt and generaleondition of the organitself and anl/.abnormality found in itsexamination to hecarefully noted { weightM. 3 grarns F. Z.Zsgrarns).

Underscalp haematoma present over right frcnta! region of size 6x4 cm , reddishcolour.

Vault and base of skull intactti0

(iii) Meninges - lntact subdu,ral haematoma present over whole of the cerebrurn ,about 120 cc blood and brood crots presint , red in corour. surarctranciahaemorrhage present as a thin firm ;f br;d ;t ot" *r tn" cerebrum.Haemorhagic contusion present over right frontal region , of size 2.x2 cm.

ic)

(d)

28" Thorax-

{a) Walls, ribs, cartilages

{b} Pleura

l-arynx, Trachea andEroncl'ri.

Right Lung

{e) Left Lung

{f} Pericardiurn

{g} Heart wirh weight

{h) Large vessels

Intact.

lntact. No free fiuid.

Mucosa-Pale

Intact, congested and oedematous

Intact.

Intact. Coronaries and valve patent. Blood and bloocl clots present.

Intact. Blood and blood clots present.

---lre-_i

{i} .Additionalremarks.Nil

21. Abdomen-

Walls

Peritoneum

CavitY

Buccal CavitYrn teeth'tongue and Pharynx.

0esoPhagus

Stomach and its contents

$mall intestine and itscontents.

Large intestine and itscontents'

Liver (with weight) and gall

bladder.

Pancreas and SuPrarenals

$Pteen with weight

KidneYs with weight

Bladder

Organs of generations

lntact.

lntact.

No free fluid.

Mucosa - Pale.

Mucosa - Pale.

100 cc yellowish fluid, No peculiar odour'' mucosa-pale '

Gases and faeces Present

Congested

Congested

Congested

Congested

Empty

Pale.

NilAdditional remarks withwhere Possible, medicalofficer's deduction from the

state of the contents of the

stomach as to time of death

and last meal.

$tate which viscera {if anY}

have been retained forchemical examination and

atso quote the numbers on

the bottles containing the

same,

Routine viscera not Preserved.

{ffiwd SPinal Cord'

Whether the ante-mortem injuriesfound on the dead bodY weresufficient in the ordinary courseof nature to sausE death,

7

Intact. Not opened.)

Yes

(b) lf yes, which of the injuries were ---r

individuatly sufficient in the I

:!:'a?:" cburse of nature to cause

[-* ,n,"*"linjyry mentioned undercolumn no. 19

I

{c}'Which of tle injuries collectivefy are | -

sufficient in the ordinary counse ofl.nature to cause death.

Opinion as to the cause Head Injuryprobable cause of death.

Dr.

13t',t2t2A17Dated

(Signature)

hlSSir:::' :, i' iifl*lf;,frJept. il ;' i' i11':-:,,. ; ;; :';ieti ioit"tg*

G;nt:, l{a.Jpqr.*The Spinal Cord need not be examined unless there are any indications of disease; Strychnine poisoning orinjury.

'i

Note - The report must be written and signed immediately after the examination. Medical Officers will at oncedespatch a duplicate copy to the Civil Surgeon oftheir district for record in his office.

RDMl2602l17n|O.

1311212417

DispensaryFlace civtt Hospttai

Forwarded tei the Folice $ub4nspector

for information with reference to his No.

Government Medical College and Hospital,Nagpur

Bajajnagar,Nagpur PS

177t2017

Z. Viscera has been preserved. lt nnay please be stated immediately whether ex*minatiEn by the GhemicalAnalyser is necessary or it is to be destroyed.

Routine viscera not Preserved' FgfDr. n.n*#we,"

R#gi{fiy*$,iffi4*t ie14

B-3/,p.ag! pig{e#ft' v#oE<gAQ$Se

""mia#ffifl.|flapisb,1;Civil Surgeon ar M.M.S. Officer

Copy forwarded with compliments to tl'le Civil Surgeon , for information.

Seen and exarnined by the Civil Surgeon, on

Remarks of the Civil Surgeon,

NIL.Submitted to concerned clerk, LMJ office.

M.M.S. Afficer

'd

. ''tl:lt,,

ld^dtr'

Civil Surgeon