21
t' ii i .t I .11 FORM COMP AA (See Rules 253 (c)l 2sa @) (iii)l 254 (80255 (1Xiv)) REPORT ABOUT THE MOTAR VEHICLES ACCIDENTS $n-qr* * --,-:r Police Station Nagpur citv- q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR NO/SDE No a?1 c I I ( oma ?og, Q Qc, Q o83{ arqtd li. ott. ou. gc i 99.Q9 qr. Date Time and place of the accident 6. IadRrrld T{at? 3ats rl3 , gqt{q gtqlas{ltq ords trfiir auqr ql.zt. dsdesr aprqr Name of the lnjured / Deceased 6. aqflq ErflTrn at6tor ds q? Ed il.aiad ei. dt-qg dosrq ftr& sals rls riqqr E;rq{aa ari aari ER ardrlt{ \ Name of Hospital to which he/ she was removed 6. errutoq aEeba 6rEq-e arJTsl Number of vehicles and type of the vehicle. 5 waqr{o. MH-40-AQ-6148 \9 Name and address of the Driver of the vehicle with particulars or Driving License of the said Driver and the address of the lssuing Authority of the said Driving License. The number of Badge in case of Public Service Vehicle and the address of the ISSUING Authoritv of the said Badqe. 6 o-Iera otdtEm eeH aq Q9 ast u. ltia l*auarp a. nrEdt {h.tirRt q}eat6rs DL No. MH-31-20080005387 DLR- 06-06-15 a Name and address of the Owner of the vehicle as it stands on the date of the accident. G $t0n? E{qrarrueb, rrq uttrr6q, a6l?Iq?l@, qeian auR aFrq3 q Name and address of the lnsurance Company with whom the vehicle was insured and the Divisional officer of the said Insurance Companv. 6 lo Number of Insurance Policy / Insurance Certificate and the Date of Validity of the insurance )Policy / Insurance Certificate. 6. t? Action taken if any and the result there of. G. 3{E{ g€Ta stQNlu oleia 6tor {r6qSF g{drqa iucra sile 3rgd qEqrd dsriq qa oleia uqr eo?uqrd snd s{qa qtr aqrqqfte sna.. dcdt qtrflrft:- 6 HC-gauagdtieft ltrtoc qj.€. as*QE? K, lns

t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

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Page 1: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

t' iii .tI

.11

FORM COMP AA(See Rules 253 (c)l 2sa @) (iii)l 254 (80255 (1Xiv))

REPORT ABOUT THE MOTAR VEHICLES ACCIDENTS

$n-qr* * --,-:r Police StationNagpur citv-

q Name of the Police Station qHla zeQrE 6sdear aiilgr er6?

1 CR.|{O/TAR NO/SDE No a?1 c I I ( oma ?og, Q Qc, Q o83{ arqtd li. ott. ou. gc i99.Q9 qr.

Date Time and place of the accident 6. IadRrrld T{at? 3ats rl3 , gqt{q gtqlas{ltq ords trfiirauqr ql.zt. dsdesr aprqr

Name of the lnjured / Deceased 6. aqflq ErflTrn at6tor ds q? Ed il.aiad ei. dt-qg dosrqftr& sals rls riqqr E;rq{aa ari aari ER ardrlt{

\ Name of Hospital to which he/ she wasremoved

6. errutoq aEeba 6rEq-e arJTsl

Number of vehicles and type of thevehicle.

5 waqr{o. MH-40-AQ-6148

\9 Name and address of the Driver of thevehicle with particulars or Driving Licenseof the said Driver and the address of thelssuing Authority of the said DrivingLicense. The number of Badge in case ofPublic Service Vehicle and the address ofthe ISSUING Authoritv of the said Badqe.

6 o-Iera otdtEm eeH aq Q9 ast u. ltia l*auarp a.nrEdt {h.tirRt q}eat6rsDL No. MH-31-20080005387DLR- 06-06-15

a Name and address of the Owner of thevehicle as it stands on the date of theaccident.

G $t0n? E{qrarrueb, rrq uttrr6q, a6l?Iq?l@, qeian auRaFrq3

q Name and address of the lnsuranceCompany with whom the vehicle wasinsured and the Divisional officer of thesaid Insurance Companv.

6

lo Number of Insurance Policy / InsuranceCertificate and the Date of Validity of theinsurance )Policy / Insurance Certificate.

6.

t? Action taken if any and the result there of. G.3{E{

g€Ta stQNlu oleia 6tor {r6qSF g{drqaiucra sile 3rgd qEqrd dsriq qa oleia uqreo?uqrd snd s{qa qtr aqrqqfte sna..

dcdt qtrflrft:- 6 HC-gauagdtieft ltrtoc qj.€. as*QE?

K,

lns

Page 2: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

d\I -.-h--t ,1/ wJ....-

v--

'64

'q{*,

t.

2,

N"c.R.B tr{.d}.orR.fr)t.t.F";i (@ffislq-ti

FIRST INFORMATION REPOFIT{Under Section 154 Cr.p.C,}

HqII gqq qFrd(?bEFr 9tB sM cfuql iift-d1)

District (R-aa)nr'€r fl.. p.s.(6rd): gqlew year (qf)l 201gFIR No.(cerr lir{ - 0218 Date and Time of FIR (q, 1', RniE, silftr *qr OS/OC|ZOf 8 15:31 q-$

(b) lnformation reeeived at p.S. ({rRrft fqardd Date 1jfti5 ;,(c) Generat Diary Referente {t6qrTE1 Entry frlo, (rT,1 fr.1,.042

4, Type of Information (crkdfsr q?Dn): Oral5" Place of Occurrence ('rfg{fftfd):

L, (a) Directlon and dlstance from p.g.1fi1fts oruqrqrq{ frsr64, 10 &rff(b) ^Address (Tdr)FRrra qdq .srk +s ,gdEq iftfu{ftr o-dq q*

(c) In case, outside the limit of thls police Station,Name of p.S.(c)Ffi-s orrar$rer

6. Complainant / Inforrnant (a-orcerslqrftcft forRr):(a) Name (qnr): qFrd cIeq"RI?r 3rSvfir( b) Igt!91's/.Husband,s Name(s-*d /q-fl 6"r qr{) : +

(c) Date/Year of Birrh (s4r ilRftrlili)r t9S6

:"'.' :'o ""'{gr'*'o'(f) passport hto.(qrqw{ ir.):

Date & rime (itao qrFr +d0slOclZ018 15:rB Ed

3. (a) Occurrence of irffence (g;grd sgfl):l. Day g€,sti

Time pEriod lorar+d): 1161 4

ress Type

Date From (Rrb O5n4/2oLBTime From 10:45 ir,i

05/04t2018

:

Date To ( fun-o vf61,95 lo4l2ot8Time To 1|dnda): 10:50;r$

Time (ia); 11:20 ard

Beat No. (fte o'.):

then (q'f .iloflg 6tnqFiil ir&lsrk{District(Statel (fr"6.r qFrg{eE{(T6i{rq}

(d ) National itV i$qtorql s lrrqd

Date of lssue (srql ttqrd)

T G-91-46 3rq qrqgl arfl,rdrilF,qT{d

a11i gg{s.d m€-ri}tg *lr- ry dffi ;$fr aqi;ffi-nEq;ffi |ffi *---*-*-

Mobile ({q1.q-.;y {,1t

Place of tssue (3rEr b??r|d fcorsr):(9) ld details (Ration Card,Voter lD Card,passport,UlD No.,Driving-S:Nb.kr.F:)

:'id rtpe .or|

(h) Address (*r); ' '

(i) Occupatlon (;q4q{rq1 ;

(j) Phone number (c6t{ t,):Details of known/susoectecr/unknown accused *itlr Iyl plrtrtylel: t{rfd qrm','Yqflvq-+d{fl or+*-4r frR:i cm):

har_r*i*"g,r.tl ffd ;a;r _Aiid6 ;; ( ffi ffir'

Page 3: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

' '',:, . , =.r, .: nLqn.gl${"S.qR;4s>t'r/'.. n{'I' Reasons for delay in reporting by the comptii;e;tliiton.ant (emr{R/nFd-cft tw-uro-g1 n-ox o-qnqr&a f:niqrd orqdl):

9" Partiiulars of propertles of lnt€rest (rfi{d}n qmq-#qr aqsfhd):

LO" Total value of property (in Rsl-)-qEqft or $a Taq(v ii):1L. lnqyest Report / u.D. case No.o if any (Tcg riflsil ftv|€ / ryd"no-rsr Ti., qfr q|$ d t:

,s.r'ro. (m.ri. liuibb Numbei i{.s;rrdRq qi. t

12. First lnformation contents (nw qaal 6gq ;.3lq m 218i18 sec 279,338,3044 IPC €reFTT dr'. io fr, s-a-ra i 10i45 to 10-50q) Q ar.n-&ff --sla[ai tUzoq EreqRE6frtrt'n-q qdr sqts fu Sd'dq gftfr,3r{h z6-dq q4{ +sfi g-sbrar Mfft qtq ffdTfl iTefi11s oi6q6( qqtiq f"raTi Cgrto s{q rff-Stscts d-s a-qw auq-o ffi c) € 1si;e+<nrqi 3fitifii iq srwT tr.MH40-Ae-6148qI qrdo3n-fi+ qa. ae'l;r Erq-;mq or&roq {qgznqrrfir q q G-91-o erq r{ldl sqts irs tqol Erqwd qq'Ti q} € 6ebeor +rw Ersa erfffi --q.q.i qifi-rtcdoq E c 3129 dr rt rsbeqr+t'tg fiarot 3rd fi ttT-ift'd {T< Ercql arftiE d1 q'horoft cTe mifdr.i +Jte -iri aem qwrRrq ei*sor Eqozi e{nr& r.r-d mptti^:r-av-4620 i ql=qli d-o sR{arfl qrfrm STsfl mMH40-AQ-6t4iBqT qrero entfii 3flca} nraqft'd qJ.r qqQrFl ffi ffi'eq'rdti sraglEi lgq *. TT *fl..*d orq rqii.Tcgq on"ft:o e'rm e{sn Sqffii ndCilsr a*'q s.civo qTn o{ftsTq wc yar ,".279,338"304A tpc qlTrq sroa d;ar

L3'Action taken:5ince the above information reveals commisslon of offence(s) u/s as rnentioned at item No" 2.1b-ffi orror{, src tr. ? nri aX< biirqr 6-d{T=4} fita sa-6qrfl1-6s-{ G{q-qls s-scqri.}(1) Reglsiered the case and took up the oi

investigation: (qqr{q n}qffi sfll0T oci$r+ 6rq

{2) Directed (Name of 1.0.) (oqrs qf*or-qrA qTE): Shankar manikrao Rank (rrq): Asst. Si (Assistant Sub-tnspectorrNo.(tr"): PoBN39406 to take up the lnvestigation (dr dqrs fiu{r-+ sTffirR ttd} or tfrii-ql}

(3) Refused investigation clue to {w:tT

or (wT 6.nqT5* dqrfl o-{Inl|{r

(4) Transferred to P.s.(5;6r Distrlct (R-mr):

on point of jurisdiction (o) dflfl*srq & ersur erdidR:d) "

F'1.R. read over to the complainant / informant,admitted to be correctly recorded andcomplainant./ informant flee oJ cost. (cerrr sE{ ilm'rrETttclrlqgv0-fl qtqr E[rrfrdt, q-+q{ ffiddmr{qrqrdrlrs-q{ldr {e-qitd ira *qn ftrt,) _----€R.o.A.c.(o{r{, oi .c .$.1

14. SignaturelThumb impression of the complalnant / informant.( n-orEsnr$/E-fi ion-qrd s$/sir6r ) :

and time of dispatch to the €ourt (-qFIfAtI|-d qrd;{cqfdE', {6):

to theqrq trd srrfrr

5ignature of Offlcer in chargeo Police Station(dM qqr$ 3rtgiD"r-qrdl wreRt)

Name {;ffq):Satyawan Bajirao ManeRank(rrE): I (!nspector)

t'to" (ci.) ; PB MAt-r69 L3 3

Page 4: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

(';;-' f-Aqf'AITVvr \vvl \La a

To,

The Police on call.GjVICH,Nagpur:

s- ihttrI I 1%o,*r,

MI,C CALL BOOK MLC CAI,L BOOK

CASUALTY

To"T'r ne rollce on call,GMCH, Nagpur'.

This is to infolm you that the patient with fcrllorvir;gdeta i I s has been b rought/brought cleacliabsc onclcci tu.ifrom the casualty on ilt

Informant:

Kindly do the needfirl.

Name:

Age/Sex:

r rnn r vlvlt(u 1\o.:

MLC No. :

:Signatuue:

Name:

Designation:

Date:Time:

Date:

i

IvlRDNo.: #- ? ?,S-- | -a/r t

MLCNo't B t*,jq

$f-6 ,

\LsDesil,nation '.: 2' :uvrrbrr4lrvrr

{"*{rre

GPN--O- Il6l-AMSGMC&|{N*.5*.20t6-200 l{eg (t00 Lvs each) pA.

TIis is to infbrrn yor_r thar rhe-p-{lgn!*with followingdetails has been brough@r-,gfrt a.u,fhbsconcled to/fi'onr tlre casr-ralty on y74 t t{.T' ,,: sn e**,

I-+'^'*^-r,IruOlmanl: * tut ,.h Ji-o. f uI

Kindly do the r"reedfr-rl.

\Ioma' rr r4rrrw . L*_/,r/k.,ry.Wft .t UCAee/Sex I rt' t-. - |ts jt(j/ fl---

*g* o{8,..{o* ^-,/ ,le*--f -

@ f,l-'*+"*"ra-S I

Page 5: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

ffit'tffi[i\$

. -i:

.t,t '|

fur

u \9 1qonp2 Act^and Sections . ..... .3iiqrr{q s ?F-trd .

-? The place ef Occur

".i+ ffi #ffi"e shown bY

-Major Head

cqri ?ftd :

-Method(s):

{Gifl :

(ii) Classification of Major Head (Minor Head) .........gqFr vft{ qr fuirrrr

(i)

(iii)

I

n

(iv)

(vl

(vi)

I of the Property to be fited)

Page 6: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

5, Particulars of the victims (Attach separate sheet,

adltn iTq:{trd lerrqttro 3i-{ldrr$'*qtia orrrq 'n}s;ry) '

Date/ lSexl Nationatitv

Year I i

of Birth

ra-a{(n*si

s.t(3)

{r{ttr(s

"(5)

Whdther

SC/ST

qr,fi/

nirliifr

'(7)

ttqffi$t-

6. Mr:tive of Crime

rya611f-q:

t_Iqsf

if required) .

lnjury: I Means

Grievous/Simple

gcn-a lwa-ii,ir{lqrsrfrl atqR

(10) I (11)

Occupation

arNlrq

*/ Rl

i . Details of properties stolen/lnvolved IUse appropriate prescribed form (s) and attach ] :

-d)fl-.4l / +ia{o nra'ft.ar f,c'{ftd (q\-rq rXqI sl1lqTtfi q 1Ttfi d-sET) '

s *;"',l,: ;":;:,;:,"";".'

b\F$istir\*'tr.' c) \\*Arev{5<cogff€*

Page 7: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

Xt\.;-\N+'

"et*rr.."{:' ,i.'}

Page 8: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

f

N\S\qqI\-\\q-"\Tx\ss\-

9. ?.F7- iMap

q\a-|fl-

QEK*$,!%T {s\-

sts'q55 5;,+s* ".=.=r+

->+E- m<_-- **

etB'-rTttrft1 $a

"N"*-"{trr-10. Descriptron of physical evidence from the scene of crime foi the property recovered I seized for. ihe pur'cse g"

investiqation :

mnrqrr* 'rrcei

ytta-T.Eq"i T{rratT.dT"i-qt-{ ftraffieriarFr ird-al qraq-t"d qulc :

1'1. DateandTime of Panchnama ^

qe=Trcqd riqflrqr* A-" u n-,*"- S \ \e \ \f:

12. Name of Panchas:qq*Td:

Timeqcd ' \q . q\t

\r'''!l

Signature of Panchas :

+qtan rrilr :

(1\ L(: ^\ rA'' ,,,,ooop-- qsi\\wr ($\-=*guqfrF

fficer

B. No. if anyq. i. ' 31e

n \-\'\n , *

freR

qflT:

ffiIqName and Signature of theYnvestigation b

Dette: \r\ t)toe|{re: :5\ V \{,0\f*GP N*K..Jq'1 --DS P(f..C*1 c'20 1?*?o,000 (Fotcted)--FA4.

[\ame:'{i-q :

siq-mErcrfr qr$

T#', ,fts=-

Page 9: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

l+.r.v. / ftfl .G.v" / L'G"v'

Case FIR No'

Police Stationntr4e

R"g.*,i"" Nlo' of the Vehicle

TYPe of Vehicle

w9_tGse ot HTv/MGv/tu?X"'

Run Protective Device(a)

[["J$']e'::? Yii iF ryl irr***, :""; :"lhil;'J) ?^;:i J;'i;;; u"r'i't u wei ghins 3 5

(b) liHi.lr"$'""' nouu'nor i n stalled & functional

,oia*h.Mp* .u.* of commercial vehicle:

a) Particr-rlarso!ti!"1;;i Particuldrs of Permit

ffitor imPact arrd damage -

Mffi;;^dit'r" of the vehicle -

Flir* mart<s (if anY) -

ffi'tt'r.rffiffi'9"t**hJ* fi-h'"* fittecl with Anti-lock Braking

Svstem (ABS)?

ul lf Yes, whether it is functioLilO or,lot?

b) Whether t'iufu '"g"uiJing

sl(icl. marks of ABSw'

iiii"J uuni"le hav-e ue91 car1f,:ut to

es;il; ile sPeeo of the vehicle

\^/haiher vehicte nroclified bY

ui'" i "',urrins 9Nf{r-lr-? 5l

;i Cr.rr"g* "f vehicle bodY

re^]fi@ sl:ffied and functional?

whether horl *"1 .,_ , _ __----Whether the brake I'gtttt & "th*

lights functional ?

C"t"l'tt'-t "f t"f-ty ba'qs in the vehicle

Page 10: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

Whether the vehicle prclperly maintained ? \t.p8 ,

19 Whether the vehicle had faulty number plate?(

No20 Whether the vehicle had tinted glasses? Va4.1z-l lf the vehicle was educational institution bus,

whether the vehicle was fltted with the doors that can

be shut and whether the vehicle had a suitable

inscription to indicate that they are in the duty of an

educational.institute, as perthe guidelines laid down

in MC Mehta v. Union of India, (1998) 1 SCC 676 and

MC Mehtav. Union of lndia (1999) 1 SCC413?

22 Details of damage on the vehicle - l,lo ,

*cdclu"fr- ueaA ilej-

/-ttP lCI alLT

lu1eaAoru^eW'in ')'ntr/ s

M,rDate: 14' o o Wt) lzhl l{'PS. tkr&PuY( rrs*z F

S '

nnoNtrffi(Name & S

i 2'APR ?[i8

IMI/

Time

Page 11: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

F|.T.V. i F*.G.V" / t.G.V.

Case FIR No.

L?3, f39. 94@Police Station

t&) psRegistration No. of tne Vehicle

I 1V 4dzo .Make,Model Na;@ --Aa 3C0b/L,fn.case orHrvzvcF(a ),,v}l,f-ff

IrSl"jS I yr,o"1! un protecrive Device(LupD) & Rear uro", dr" ;#;H;:"#?lj:,A i,.oj;?:taled? rr",

""nitr" ,ililr,ing a.s_(b) Whether speed governor installed & functionalor othewise?

f n case of commercial vehicle:11 particulars of fitnessb) Particulars of permit

Point of impact nrn r:Ju,r,uo* _

Mechanicat conOitiln "f

tr_ *hi"l_Paint rnarks (if anfiaonO',,on

$*?#?Xf-lehicreo"@a) lf yes, whether it i.s functioning or not?b) Whether trials rega,rcling skid marks of ABS

IIT*lj:re have n**,i#n:"; ffi.estimate the speed of the u"hi.fu

lt"ll:: vehicre mocriiiect by:l rnsralting Ci\tctlpc i(ii[,- \

^fut \"nange of vehicle boclyt"'g',,".:lllf ffiWhetherhornw;mil/hetherrnuoruni6n@

duV/oCondjtion of safety ;rg. i" th_-r_hi.f_

Page 12: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

4l\UW

1B

19

Vi;hether the vehicle properly maintained ?

Whether the vehicle had faulty number plate? ilnl20

a4/l

Whether the vehicle had tinted glasses? xlolf the vehicle was educational institution bus,

whether the vehicle was fitted with the doors that can

be shut and whether the vehicle had a suitable

inscription to indicate that they are in the duty of an

educational.institute, as per the guidelines laid down

in MC Mehta v. Union of lndia, (1998) 1 SCC 676 and

MC Mehta v. Union of India (1999) 1 SCC 41 3?

22 Details of damage on the vehicle -

--)

->

**3

-->

n {n;rrt 4aa'al 1-'84-""1

/nna q-() wvldLco- a

A-eu n@+ b<€,tta oj o'Yri nlo'n

€/(2pls<al t

Date:

P.S.

ilme

.{r?).pl1qt-t

,1 t)

l-itroll,luo rh tLsa)-

latl e-o hf)J "

)rrt'

rwo t\l I KA R. #StrBLq* b*.",' (Name & Stamp)

,t 4 r, F,rl 4a /1 |I L l- r'ti l.l; t ,

IlvlvDv. RTO t{agPurr- lI,FHQi

-*; (Name & StamP)

Page 13: t' - nagpurpolice.gov.innagpurpolice.gov.in/media/accidents_compensation/218-2018_Hudkeshwar_D2N7.pdfNagpur citv-q Name of the Police Station qHla zeQrE 6sdear aiilgr er6? 1 CR.|{O/TAR

on the dead body of Laxman Vamanrao Ahirkar

Taluka,

lvs.-PA4'MLPM No. AK:'/750/19

05t04t2018aharashtra, Bombay's

4-7 -62.1

em examination held at Government Medical College and Hospital,Nagpur

or Y.l!!999City

C. M.67e

DispensaryHospital

Umrer

,by Dr. A.K.Jaiswani

I

1, (a)

(b)

General Particulars-

By whom was thecorpse sent?

Name of place fromwhich sent.

,District Nagpur

P.S. Hudkeshwar, Nagpur

Casualty,Govt. Medical College, Nagpur

b PC Prakash, B. No.5654, p.S. Hudkeshwar; Nagpur

1 7:1 5 Hrs

(c) Distance of placefrom^which sent.

$K*u" the corpse

3. By whom identified?

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

;. . .', ..:.. : . ,-,.,1

(a) The, date, hour andminute of beginningpost-mortem exami.1 1rO;r;r. .:.::,r,:.,.i,t :,ai, ..,';

i

!-,-.:,p- 0510412018

5. substarice of :accompa-;, As.pei'police inquest and requisition.

ilils Repod from.Potice' P?le flrd tlme of death is 0st04t2018 at 11:30.Hrs

t . l;

I

ia.; As periPo ce inquest and requisition.cer Date bnd time of death is 05/04/2018,l; , H/! -,Road Traffic Accident

17:20 Hrs

,lr

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lf not' examined aDispensary or Hospital -

(a) Name of place whereexamined.

(b) Distance from Dis-pensary or Hospitat-

(c) Reason why the bodywas 'not sent to the

' Dispen5ary or Hospital.

u,- Body.brought ddad to casuatty,Govt. Medicat Ooltege,Nagpur.

Male.Aged about 62 years, caste-Hindu

Body wrapped in otd blanketGrey shirt harf sreeves, white baniyan, brown undenrrear, grey pant, white scarf

Stained'with btood

I l. External' Examination-

7. Sex, apparent age, raceor caste.

Description of clothes,1, ,, and of ornaments on the

Vjf'lR$Pry\'\'\j

B. Condition of the clothes-Whether wet with water.stained with blood or soiledwith vomit or foecal matter.

$

9. OeaO OoOy identified by pC on dutyTeeth-lntactldentified by pC 5654 on duty

:

1i,4..*.

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,r

1Q. Condit.,n of body-Whetheg well-nourished, th inor emaciated, warm or cold.

11. Rigor Mortis - Well marked,slight or absent; whetherpresent in the whole body orpart only.

PM No. :AKJ/750/18 Dated :

Average BuiltCold

Partially present over face and upper limbs.

05t04t201

@

12. Extent and signs of decom_position, presence post-mortem lividity of buttocks,loins, back and thighs or anyother part. Whether bullaepresent and the nature of

,, their ^ contained fluid.i iV Conqitlo\rof the cuticte.7'Th"rr"ry"-

\)

13. Features . Whether,naturalor swoilen, state ,ot eye;,position of tongue: n"iu.*of ftuid (if any) oozing from. mouth, nostrils or ears:

14. Condition of s;kin - Marksof blood etc. In suspecteddrowning the presence orabsence of cutis anserinh

No.sig.ns of decomposition present. post mortem rividity present over back andbuttocks except at pressure point, not fixed, faint.

Feature : InjuredEyes : CioseoCornea . ClearMouth : ClosedTongue : Inside the mouthbrood oozing out from the nostrils,mouth and left ear

.tl

L::;

,,,,:ri

,t,a.r;:' Lil

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F

15. Injuries to external genitals.tndication of purging

No injury to external genitalsruo purging

'16. Position of Iimbs -Especially of arms andof fingers in suspecteddrowning the presence orabsence of sand,or eafthwithin the nails or on theskin of hands and feet.

Both limbs extended

17. Su.rta:e wounds andr!!urie.? - Their nature, posi_tlon,dimensio ns(measu red)and directions to be

1

zAbrasion of size 6cm x4cm present horizontaty over reft frontar region, reddisr_

f3,ff';!r?:;::","'.'fii'cm present o*' iir,t side or ru." ou"i,axira, 3cAbrasion of size 4cm x4cm present over reft arm over dertoid region, reddish.Abrasion of size 4cm x3cm prelent oue,, ,igniefOow, reddish.

|'X!??,lisfund or size lcmx o's.r , t[!r" o""o present over dorsum,or rig

[11[f "1ffii,hti:53, rrom size 0.5cm x0.5cm to lc; x 1cm:present ov

Abrasion of size 3cm x3cm present over right knee, reddish.Multipre contused abrasions ranging rroti .i." 0.5cm x 0.5cm to 1cm xlcrpresent over rniddte 'U3rd of ret fei, ieni"i "rpuct,

reddish. _l

accuratelyprobable , age

stated-theirr:o causes

4

il(!*Pg."0

lf bruises be present what is.n: condition of thesuDcutaneous tissues ?

8

ortem

II

:

i.

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Itt. tntl,.,tat Examination-t

19. Head-

(i) Injuries under the scalp,their nature.

(ii) Sku//- Vault and tiase-describe the fractures,their sites, dimen-sions, directions, etc.

(iii) Brain - The appearanceof its coverings, size,weight and generalcondition of the organitself and anyabnormality found in itsexamination to becarefully noted ( wgightM. 3 grams F. 2.75

(\rorams)'Pl.1-,..u.'w1.,1'

Y---"'20. Thbrax-

(a) Walls, ribs, cartilages

(b) Pleura

(c) Larynx, Trachea andBronchi.

(d) Right Lung

(e) Left Lung

PM No. :AKJ/750/18 Dated : 05t0412018

@Underscalp haematoma present over left fronto parietal region of size 8cm x 7 cm

, reddish colour

1) Fractured bone of base of skull involving middle cranial fossa on left side of size4cm x'l cm.

Meninges - lntact Subarchanoid haemorrhage present as a thin film of blood overbilateral parietal region. Brain-Pale.

Bilateral 4th to 8th rib fracture along anterior axillary line with extravasation ofblood in surrounding intercostal muscles.

Torn on both sides. Contains about 150cc blood and blood clots

Mucosa-Pale, no foreign body.

Refer added pages to AKJ/750/18 , dated 0510412018 for column no. 20(d).

Lacerated wound of size 3cm x l cmx parenchymal deep present over lower lobe

Intact

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

Intact. Blood and: blood clots present.::

p;: :r i ..r(i) Additional'remarksi,

.Nil

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21. Abdomen-

Walls.

,l

Peritoneum

Cavitv

Buccal Cavity, teeth,tongue and Pharynx.

Oesophagus'l

Stomach and its contents

Small intestine and itscontbnts.

u./il'Lf,rge intestine and'itscontents.

Liver (with weight) and gailbladder. ':,.Pancreas and Suprarenals

Intact,

lntact.

No free fluid.

Mucosa - pale.

. Intact

Empty, no peculiar odour, mucosa-pale .

Gases and faeces presentED>

Intact,pale

lntact

Intact

Intact

.:1,: . . :

Intact. emotv

:::.lntb'ct;

v scela not preserved

Spleen witn weignt

XiOneys with weight

-

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'ti&\F^"it:

DisPensaryPlace n1.,i; Hospital

Forwarded to the Police Sub-lnspector

:ifor information with reference to his No.

2. Viscara has been preserved. lt may please be stated immediatety whether examination by the chemical

a""rvr?i;";";;;t or it is to be destroved. ;

,s

\

No. AKJ/750/18,051o412018

--s

Government Medical College and Hospital,Nagpur

Hudkeshwar, NagPur PS

A.D.no.21 8/1 8 u/s 279,338,304(A) IPC

Copy forwarded with compliments to the Civil Surgeon , for information'

.'

' ^: :',j

.ii

M.M.S. Officer

Civil Surgeon

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22. *Spine and Spinat Cord-3-''"t'

23.(a) Whether the ante_mortem injuriesfound on the dead OoOV',*"rJsufficient in the ordinary "-Jir""'"'=of nature to cause death.

(b) lf yes, which of the injuries wereindividuauy sufficient ',; ',;;:o.dinary course of nature ;; "r;::death.

(c) Whicn of the injuries collectively aresufficient in the oroinarV- co;;J".";nature to ca,use death,

!l'li:l as to the causeprobable cause of death.

Yes

:_|F- Internal injury mentioned under column no. 1g,1.g and 20

Shock and haemorrfrage following injuries sustained

05/04/2018uated

UT

' .

.rhe spinalcordrneedgot be examined unress there are any indicatic-- .

*Xm*oJ"Hl*"ym3n*

::.',., _ ons of disease, strychnine,;;;;;;;""

Note - The report must .b:-yrltl:" and signed immediately after the examin,fi^^ r\,^J:- _, ^ -_despatch a oupricate coi; il;'.:''diiil,,.n"on orineir 0,,,n",'illllli,.?i;,.'T?Sfiiorricers wi, at once

No injury to spine or paraspinal rnuscle.

6ltlo",lrsA.K.Jaiswani

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05t041201PM No. :AKJ/750/18 Dated :

Column No-zr)(d)

t_acerai#-rvound of size 3cm x .r cm x parenchymar deep present over middle lobe. Lacerated wound of size 2'5cm x 1cm x

parencfrymal deep present over lower lobe

05104120

@1B

2.

.x$'iffil**"P"

,"*