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    Postmortem Formate

    Uploaded by

    Hero Heralal
    Formate of pm

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Postmortem Formate

    Uploaded by

    Hero Heralal
    9 views6 pages
    Formate of pm

    Original Title

    postmortem formate

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    Formate of pm

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    9 views6 pages

    Postmortem Formate

    Uploaded by

    Hero Heralal
    Formate of pm

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 6

    DEPARTMENT OF FORENSIC MEDCINE & TOXICOLOGY

    LATE BISAHU DAS MAHANT MEMORIAL MEDICAL


    COLLEGE ASSOCIATED INDRA GANDHI HOSPITAL,
    KORBA (C.G.)

    POSTMORTEM REPORT

    DDR/FIR PMR
    Dated no.
    U/S Dated
    Police station CR no.

    1. General particular of deceased

    Body of Name
    Son of
    Age
    Sex Choose an item.
    Address

    Body brought by
    Body identified by

    Whence brought
    Date & Time Death Found dead on
    Receiving police paper
    Examination of the
    body
    Completion of
    examination
    Clinical summary (in
    case of hospital death)
    Brief history furnished
    by police / Relatives

    GMCH/KORBA/PMR/ Page 1 Date.................


    2. External examination

    Length of the body


    Identification mark if any (tattoo, scar
    etc)
    Condition of the clothes and body of the
    deceased (defect, deposits, tear etc)
    Rigor mortis (its extent and distribution
    Postmortem staining (its color and
    distribution)
    Decomposition (stage and distribution)
    Natural orifices (Nostrils, mouth, EOM,
    anal, urethra )
    Eye, teeth and tongue

    3. Injuries (described with size, shape, exact position on the body, color

    GMCH/KORBA/PMR/ Page 2 Date.................


    4. Cranium and vertebral column
    Scalp
    Skull
    Vertebrae
    Meninges and brain Weight:

    spinal

    5. Neck
    Condition of neck muscles
    Larynx and trachea
    Pharynx and Oesophagus
    Thyroid and cartilages

    6. Thorax
    Wall, Ribs and cartilages
    Pleural cavity
    Lungs Right: weight-
    Left: weight-
    Pericardial cavity, heart Weight:
    and coronary arteries

    7. Abdomen and pelvis


    Walls and Peritoneal
    cavity
    Stomach and its contents
    (description of quantity,
    smell, mucosa etc)
    Small intestine and its
    contents
    Large intestine and its
    contents
    Pancreas
    Liver and gall bladder Wt.-
    Suprarenal glands
    Kidney Rt.-
    Lt.-
    Spleen
    Urinary bladder
    Organ of generation (
    condition of penis, testis/
    vagina, uterus and ovary)

    8. Muscles, bone and joints


    Disease/ deformity, fracture/ dislocation

    GMCH/KORBA/PMR/ Page 3 Date.................


    9. Opinion
    In my opinion cause of death in this case is

    Nature of injury
    (Antemortem/
    Postmortem)
    Nature of force/ weapon
    Probable time of elapsed Between injuries and death
    Between death and postmortem
    examination

    Dated:
    Signature of doctor
    Name:
    Designation:
    Department of Forensic
    Medicine & Toxicology,
    GMCH, Korba, C.G.

    GMCH/KORBA/PMR/ Page 4 Date.................


    Date
    OUTLINES OF THE HUMAN BODY
    (SCHEMATIC, NOT TO SCALE)
    Left Right

    Front Back
    Right Left Left Right

    GMCH/KORBA/PMR/ Page 5 Date.................


    RECEIPT:

    Handed over to the police (following items with marked ☐ )

    ☐Dead body of deceased after postmortem and duly stitched and packed
    ☐Belongings of the deceased
    ☐Postmortem examination report
    ☐A forwarding letter to Director/ Regional Director, Forensic Science Laboratory,
    …………….., C.G.
    ☐……..Plastic container, containing following contents (preserved in saturated salt
    solution), respectively and duly packed and sealed with seals bearing inscription
    “I.G.Dist.Hosp.KORBA C.G.” along with sample seal
    (1) Stomach with contents and Piece of small intestine with contents
    (2) Piece of liver with gall bladder, half of each kidney
    (3) Blood (without preservative)
    (4) Preservative (saturated salt solutions)
    (5)
    ☐A forwarding letter to HOD, Department of Pathology, ……..
    ☐……..Plastic container, containing following contents (PRESERVED IN 10%
    FORMALIN), respectively and duly packed and sealed with seals bearing inscription
    “I.G.Dist.Hosp.Korba” along with sample seal
    (1) One piece of each lungs, Piece of liver, Half of each kidney
    (2) Whole Heart
    (3)
    ☐A sealed packet(s) with …….seals, each, containing:
    ☐
    ☐Ligature material
    ☐
    ☐

    (Signature of Police Officer)

    Name :
    Belt no. :
    Police station:
    Date:

    GMCH/KORBA/PMR/ Page 6 Date.................

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