Post-mortem Examination Report Form

'kklukn's k l[a ;k 2955@N%&iq0&9&2011&31 ¼1½@2012
fnukda 11 tuojh] 2012 dk lya Xud
izi= l[a ;k ------------------------

(Form No.........................)

mRrj izn's k jkT; ds fy, e`R;q i'pkr~ “ko foPNns u vk[;k izi=

(Post-mortem Examination Report Form for Uttar Pradesh State )

lLa Fkk dk uke fnukda --------------------------

'ko foPNsnu vk[;k la[;k

(Post-mortem Examination Report No. )

'ko foPNns u ijh{k.k djus okys fpfdRlk vf/kdkjh@vf/kdkfj;ksa dk uke ,oe~

rSukrh dk LFkku 'ko dks izkIr djus dk le; ,oe~ fnukda ] vUos"k.k izi=kas dh

l[a ;k lfgr 'ko foPNsnu ijh{k.k dks izkjEHk djus dk le; ,oe~ fnukda

'ko foPNns u ijh{k.k dks iwjk djus dk le; vUo"s k.k gsrq 'ko ds ijh{k.k dk fnukda

vkSj le; ¼vUos"k.k vk[;k ds vuqlkj½

'ko ijh{k.k dh ohfM;ks fjdkfMZxa djus okys O;fDr dk uke ,oe~ irk

izdj.k dk fooj.k

1 ¼v½ e`rd dk uke

¼lEcfU/kr dkjkxkj ;k iqfyl vfHky[s k ds vuqlkj½

¼vk½ iq=@iq=h@iRuh

¼b½ irk

2- mez ¼yxHkx½------------------------------------------- o"kZ fyxa iq:"k@efgyk@vU;

3- 'ko ykus okys ,oe~ igpku djkus okys iqfyl dehZ dk uke ,oe~ in

1-½

2-½

Fkkuk

4- igpku@f'kuk[r djkus okyk ¼lEcfU/k;k@sa O;fDr;kas dk uke ,oe~ irk½

1-½

2-½

vLirky ls izkIr 'kokas ds izdj.k esa ¼vLirky ds vfHky[s kkas ds vuqlkj fooj.k½
vLirky esa HkrhZ gkus s dk fnukda ,oe~ le;
vLirky dh dUs nzh; iathdj.k la[;k rFkk mipkj lkjk'a k
fujh{k.k dk lpw h i=
d½ lkekU;
1-½ Å¡pkbZ --------------------- ¼ls-eh-½ 2-½ otu -------------------------------- fdykxs zke
3- 'kkjhfjd cukoV ¼v½ NjgjkZ@e/;e@eksVh
vk½ vPNh dkBh@vkSlr dkBh@nqcZy dkBh@{kh.k dk;k
4- igpku ds fpUg ¼;fn 'ko vKkr gS rks layXu izi= dks Hkj½sa

i)

ii)

iii) vyx i`"B ij vxa qfy;kas ds fu'kku yds j fpfdRlk vf/kdkjh ds }kjk lya Xu
fd;k tk,A

5- igus gq, oL=ksa dk fooj.k& egRoi.w kZ vkd`fr@y{k.k
6- 'ko esa e`R;q i'pkr~ ifjorZu (Post-mortem Changes)

v½ vUo"s k.k ds le; dh fLFkfr (As seeen during Inquest)
e`R;q i'pkr~ vdM+u dh mifLFkfr
rkieku ¼jDs Vy½

fo?kVu ls gq, ,oe~ vU; ifjorZu
vk½ 'ko foPNsnu ijh{k.k ds le; dh fLFkfr
7-v½ cká lkekU; fn[kkoV (External General Appearance)
vk½ u=s k]as eq[kxqgk] thHk rFkk uk[kwuksa dh n'kk
b½ izkd`frd }kj (Natural Orifices)
[k½ cká pksVsa &
¼izR;ds pksV dh yEckbZ X pkSMk+ bZ X xgjkbZ] vkdkj rFkk izdkj ,oe~ egRoi.w kZ
'kkjhfjd lhek fpUgksa ls lEcU/k@nwjh dk mYys[k djAsa pkVs ksa ds rkth vFkok iqjkuh
gkus s ,oe~ iqjkuh pksVkas dh vof/k dk mYy[s k dj½as lHkh pkVs ksa dk QkVs kxs zkQ]

vyx&vyx l[a ;k lfgr rFkk nksuksa dku ds fupys fgLls rFkk BqM~Mh ls Ldys ds
}kjk nwjh ukirs gq, y]sa blds vykok QUns ds fu'kku ds izdj.k esa Hkh QkVs kxs zkQ y]as
QUns ds fu'kku yxus ls NwVs gq, Hkkx dk Hkh QkVs kxs zkQ vo'; yAas

funZs'k % ¼Instructions½

i) pkVs kas dk mYys[k Øe l[a ;k lfgr djsa rFkk lya Xu js[kk fp= esa n'kkZ;Aas
ii) Hkkdsa s gq, ?kko ¼Stab Injuries½ esa dk.s k fdukjk vkSj “kjhj ds vUnj fn'kk dk

mYys[k djAas
lHkh pkVs ksa eas vUnj ds vxa tSls jDr okfgfu;k]a rfa =dk;as rFkk /kefu;kas ds
{kfrxzLr gkus s dk mYys[k vo'; fd;k tk,xkA
iii) vkXu;s kL= dh pkVs ksa eas xkys h ds izHkko dk Hkh mYy[s k djas rFkk igys
jfs M;kxs zkQ yas fQj [kkys asA
x-½ vkUrfjd ijh{k.k
1- flj (Head)
v½ diZjk;.k (Scalp)
vk½ djkfs V (Skull) ¼;gka dh n'kk dk o.kZu djas rFkk lya Xu 'kjhj ds js[kk

fp= e s n'kkZ;½as
b½ f>fYy;k]a f>fYy;kas ds e/; fjDr LFkku rFkk efLr"d dh jDrokfguh

¼jDrlzko ,oe~] bldh fLFkfr] vlkekU; xa/k bR;kfn dk Hkh mYy[s k
dj½sa
bZ½ efLr"d (Brain) dh n'kk ,oe~ otu ¼otu------------------------------ xzke½
m½ dkVs j ukfldk rFkk d.kZxgq k&n'kk

(Orbital, Nasal and Aural Cavities-Findings)

2- xzhok (Neck)
eq[k thHk rFkk xzluh

(Mouth, Tongue and Pharynx)

d.B uyh rFkk Loj xzfUFk

(Larynx and Vocal cords)

xzhok ds vkUrfjd Årdksa dh fLFkfr

Fkk;jkW;M ,oe~
vU; mikfLFk;ksa dh fLFkfr
'okl uyh & gk;M vfLFk

(Trachea - Hyoid Bone)

3- Nkrh (Chest) &
ilfy;k¡ rFkk fHkfÙk;k¡

(Ribs and Chest wall)

fuxy (Oesophagus)
'okluyh rFkk ok;q iz.kkyh ds dks"Bd

(Trachea and Bronchial Tree)

ifjQq¶Qql (Pleura)
ifjQq¶Qql xqgk (Pleural Cavities)
QQs M+kas dh fLFkfr (Lung findings) rFkk otu nkfguk --------------------------xzke vkSj ck;ka

-------------------xzke
ifjUdu rFkk ifjUdu f>Yyh

(Pericardium and Pericardial Sac.)

ân; fLFkfr rFkk otu

(Heart findings and Wt. )

cM+h jDrokfgfu;ka (Large Blood Vessels)
4- mnj (Abdomen)
& mnjfHkfÙk dh n'kk (Condition of Abdominal wall)
& mnjPNsn vkSj mnjPNsn diw (Perinoteum and Peritonial cavity)
& vkek'k; ¼fHkfÙk dh n'kk] vUrZ oLrq,a vkSj xU/k½

Stomach (wall condition, contents and smell)

& NkVs h vkar vifs UMDl lfgr (Small Intestine including Appendix)

& cM+h vkra ets fs UVªd okfguh lfgr

(Large Intestines and mesenterc vessels)

& ;d`r fiRrk'k; lfgr ¼otu ------------------------xzke½

(Liver including Gall Bladder)

& Iyhgk (Spleen) ¼otu ------------------------xzke½

vXU;k'k; (Pancreas)

xqnsZ n'kk vkSj otu nkfguk -----------------------xzke vkSj ck;a k--------------------------xzke

(Kidneys finding)

e=w k'k; vkSj e=w okfguh

(Urinary Bladder and Urethra)

ofLrxqgk ds Ård (Pelvic Cavity Tissues)
ofLrizns'k dh vfLFk;ka (Pelvic Bones)
tuukxa (Genital Organs) ¼;kfs u] v.Mdk"s k] cká inkFkZ dh mifLFkfr] Hk.wz k]
oh;Z ;k fdlh vU; rjy inkFkZ dh mifLFkfr rFkk tuukxa kas ds vUnj vkSj
vklikl uhy fu'kku] vkSj [kja kps dh mifLFkfr dk mYys[k dj½sa
& ;kfs u@xHkkZ'k;@xqnk@eq[k ls uewuk ,d= djuk pkfg, rFkk ySfa xd
mRihMu+ ds izdj.k esa vxa qfy;kas ds uk[kwu ls Årdkas dk uewuk vkSj Lru dk
Lokc yAsa
5- jhM+ dh NYyk rFkk e#s jTtq ¼ogha [kkfs y, tgka vko';d gk½s

(Spinal Column And Spinal Cord) (To be Opened where indicated)

6- tgka lHa ko gk]s vkek'k; dh vUrZoLrqvksa dh n'kk ls fudkyk x;kA eR` ;q dk
lHa kkfor le; rFkk vfUre Hkkts u dk foLr`r fooj.k] vU; fo’ks"k fooj.k
lfgrA

vfHker %
1- e`R;q dk lHa kkfor le; (Times since death) ¼vUo"s k.k ds le; fd, x,

fujh{k.k lfgr lHkh dkjdksa dks /;ku esa j[krs gq,½

i) e`R;q dk dkj.k vkSj idz kj (Cause and Manner of Death) ejs s Kku vkSj
fu"d"kZ ds vk/kkj ij e`R;q dk dkj.k fuEu gS &

v- rRdkfyd dkj.kA

(Immediate Cause)

vk- otg ls (Due to) &
b- pkVs ksa eas dkSu lh pkVs e`R;q iwoZ@e`R;q i'pkr dh gS rFkk vof/k ;fn e`R;q iow Z

dh pkVs gS\
bZ- pkVs kas ds dkfjr gkus s dh jhfr D;k Lo;a dkfjr dh x;h gSA gk¡@uk
m- D;k pkVs as ¼,dy ;k lefs dr½ LoHkkfod :i ls fodflr gkus s ij e`R;q dkfjr

djus ds fy, i;kZIr gSA
Å- y{k.kkas ds izkjEHk gkus s dk lHa kkfor le; ¼dos y fo"k ds izdj.k e½sa A
iii) dkbs Z vU; (Any other)

ueuw k ,d= fd;k vkSj vxzlkfjr fd;k ¼d`i;k lgh dk fu'kku yxk;½as

(SPECIMENS COLLECTED AND HANDED OVER) (Please Tick)

v- foljk ¼vkek'k; vUrZoLrq lfgr] NkVs h vkar vUrZoLrq lfgr] ;d`r dk
ueuw k] xqnkZ ¼izR;ds dk vk/kk½] Iyhgk] iV~Vh ds VqdMs+ eas jDr dk uewuk
¼l[w kk½ dkbs Z vU; foljk] mi;kxs esa yk;k x;k fiztjofs Vo

vk- oL=
b- QkVs kxs zkQ ¼fgjklr e`R;q ds izdj.k eas ohfM;ks dSlVs ½] fQxa jfizUV bR;kfnA
bZ- cká inkFkZ ¼tSls cqysV] QUnk bR;kfn½
m- fo"k ds izdj.k eas fiztjofs Vo dk uewuk
Å- vKkr 'koksa ds izdj.k eas Mh0,u0,0 feyku gsrq ueuw kA
,- vKkr 'kokas ds izdj.k eas nkus ksa uewuk ,d= djAsa
,-s lhy dk ueuw k
vk-s vUo"s k.k izi= ¼dqy la[;k dk mYy[s k djrs gq, izR;ds dks gLrk{kfjr djs½a

(Inquest Papers) (Mention Total Number and Initial them)

vkS- ;kfs u] oh;Z ;k fdlh vU; inkFkZ ls cuh LykbMsa ¼Mh0,u0,0 feyku ds fy,
;kfs u@xHkkZ'k;@xqnk@eq[k ls fy;k x;k ueuw k] ySfa xd mRihMu+ ds izdj.k

eas vxa qfy;ksa ds uk[kwuksa ls fy;k x;k Årdksa dk ueuw k vkSj Lru dk Lokc
¼Lokc LVus ugha djuk pkfg,½
'ko foPNns u ijh{k.k vk[;k dh eyw izfr (Post-mortem Report in
original)------------------------------------vUo"s k.k izi=] 'ko oL= vkSj vU; ---------------------------
-------------------------------------------------------------------------------------------------------------------------------------------
¼mYys[k dj½sa lhy cUn ¼l[a ;k ------------½ iqfyl vkj{kh dks gLrxr fd;k
ftldk uke ---------------------------------------------------- vkj{kh Øekda ----------------------- Fkkuk ---
---------------------------------------------------------------------------- ftuds gLrk{kj ;gka gSa -----------------------
---------------------

gLrk{kj
fpfdRlk vf/kdkjh dk uke
¼cM+s v{kjksa e½sa ----------------------------------------------------------
inuke ----------------------------------------------------------------------

eqgj

















fpfdRlk fof/kd ijh{k.k vk[;k izi=&d
¼ySfa xd mRihMu+ @vigj.k@f'k'kq gR;k@vU;½
¼d`i;k fo'o LokLF; lxa Bu ds ySfa xd mRihMu+ ls lEcfU/kr fpfdRlk
fof/kd izdj.kkas ds lanHkZ eas fn, x, fn'kk funsZ'kksa dk voykds u dj½as

Hkkx&d ¼fL=;ksa ds fy,½

?kVuk dk fnukda o le;

izFke lpw uk fjiksVZ l[a ;k@/kkjk@fnukda

Fkkuk

lgefr (Consent)
n.M izfdz;k lfa grk 1973 dh /kkjk 164

¼d½ dh mi /kkjk ¼4½
fjikVs Z esa fofufnZ"V :i ls ;g

vfHkfyf[kr fd;k tk;xs k fd D;k ,ls h ijh{kk
ds fy, L=h dh lgefr ;k mldh vkjs ls
,slh lgefr nsus ds fy, l{ke O;fDr dh
lgefr] vfHkizkIr dj yh x;h gSA
ukVs %
(i)- ekrk firk o lxs fj'rns kj @vfHkHkkod

(By Natural guardian/ Legal guardian)

(ii)- lgefr ds lca a/k eas fo'o LokLFk;
lxa Bu }kjk fn;s x;s lya Xu funZs'kkZas ¼Notes
on completing the consent form½ ds
vuq:i lgefr izkIr dh tk;s ¼izkQs kekZ dh
izfr lya Xu½A

(iii)- lgefr L=h dh Hkk"kk esa gkus h pkfg,
;fn L=h dh Hkk"kk Kkr ugha gS rks vuqoknd
dh O;oLFkk djuh pkfg,A

ijh{k.k izkjEHk djus dk fnukda ,oa le;

ykus okys rFkk igpkuus okys dk uke rFkk
irk

ijh{k.k ds le; mifLFkr lgk;d dk uke
in lfgr

ijh{k.k dk LFkku
¼fpfdRlky; dk uke½
L=h dk uke
vk;q
tUefrfFk
¼;fn Kkr gk½s

irk ¼LFkkuh;½

irk ¼LFkk;h½

igpku ds fpUg

fookfgr@vfookfgr@vU;
¼Li"V mYy[s k djs½a
fiNyh ekgokjh dh rkjh[k

(L.M.P.)

izlfw r dk bfrgkl (Obstetric History)

orZeku O;kf/k ;fn dksbZ gS

?kVuk dk l{a kis eas fooj.k

ijh{k.k (EXAMINATION)
lk/kkj.k ekufld n'kk
n.M izfdz;k lfa grk 1973 dh /kkjk 164
¼d½ dh mi /kkjk ¼2½ ¼v½
lkekU; ijh{k.k&

d- psruk dk Lrj

(Level of consciousness)

[k- ukM+h dh xfr

(Pulse Rate)

x jDrpki (Blood Pressure)

?k- Å¡pkbZ (Height)

³ Hkkj (Weight)

p- cky (Hair) dk[a k dk cky mifLFkfr@jxa @iryk@ekVs k
yEckbZ@eVs sM ;k ukWV eVs sM
(Axillary Hair) mifLFkfr@jxa @iryk@ekVs k

xqIrkxa ds cky fodflr@vfodflr@lEa o/kZu'khy

(Pubic Hair)

N- Lru

1- ?kVuk ds ckn oL= cnyus dk fooj.k

2- ?kVuk ds i'pkr Luku dk fooj.k

3- jDr@oh;Z@dhpM+@vU; /kCckas dh
oL=kas ij mifLFkfr dh ;FkkfLFkfr dk
o.kZu ds lkFk] v/kks oL=kas ;Fkk&czk vkSj
iSUVh vkfn dks gok esa lq[kkus ds i'pkr
vyx&vyx dkxt ds fyQkQs esa lhy
dj]sa blh izdkj v/kks oL=ksa ds Åij
igus gq, oL=ksa dks nwljs dkxt ds
fyQkQs eas lhy djsAa

cká ijh{k.k &

'kjhj ds fdlh Hkh Hkkx esa mifLFkr pkVs ksa
dks vfa dr djsAa

1- pgs jk

2- Hkqtk;sa

3- iSj

4- ihB

5- Nkrh

6- Lru

7- vU;

vkUrfjd tuukxa &xqnk ijh{k.k

(INTERNAL GENITO-ANAL EXAMINATION)

1- ekUl I;fw cl (Mon's Pubis)
2- ySfc;k ets kjs k (Labia Majora)
3- ySfs c;k ekbuksjk (Labia Minora)
4- cfs LVC;yw (Vestibule)
5- gkbeu (Hymen)
6- ijs hfu;e (Perineum)
7- ;ksuh ¼Vulva½
8- Hkx ¼Vagina½
9- oStkbuy okYV ¼vaginal vault½
10- oStkbuy QkWjfuDl ¼vaginal fornix½
11- fDyVkfs jl (Clitoris)
12- iksLVhfj;j QkjpVs (Posterior

Fourchette)

13- Qkslk usohdqyfs jl (Fossa

navicularies)

14- ifs j;wjFs kzy (Peri urethral)
15- lfoZDl (Cervix)
16- ,DVkls foZDl ¼ectocervix½
17- lokZDy vkfs jfQl ¼cervical orifice½
18- xqnk }kj (Anus)
19- eyk'k; (Rectum)
20- ew=okfguh ¼Urethra½
21- i.w kZ fu'prs uk ds i'pkr ¼Under full
GENARAL ANAESTHESIA.½ fd;k x;k
ijh{k.k ¼;fn vko';d gk½s
22- jDrlzko@vU; lzko

(Haemorrhage/other discharge)

ukVs %& ;fn ck;kys kWftdy LFkku ue gks rks 'kq"d Lokc rFkk ;fn ckW;kys kWftdy
LFkku 'kq"d gks rks ue Lokc ¼2&4 cwWn Distilled water½ iz;kxs djuk okfa Nr gSA

Mh0,u0,0 izkQs kbZy ds fy, ueuw k ,d= djuk

¼n.M izfdz;k lfa grk 1973 dh /kkjk 164 ¼d½ dh mi /kkjk ¼2½ ¼iii½& Mh0,u0,0
izkQs kbZy djus ds fy, L=h ds 'kjhj ls yh x;h lkexzh dk o.kZu½

1- ots kbuy fLe;j (Vaginal Smear)

2- lokZbdy fLe;j (Cervical Smear)

3- ,uy fLe;j (Anal Smear)

4- vksjy fLe;j (Oral Smear)

5- czsLV fLe;j (Breast Smear)

6- tuukxa ksa ds cky (Pubic Hair)

7- uk[kuw dh drju (Nail Clipping)

8- Mh0,u0,0 gsrq vU; uewus&a ;Fkk

v.Mj xkjeUs Vl ¼vUr%oLr&iSUVh]czk
vkfn½] v/kksoL=] tSoh; inkFkksZa

¼Biological Materials½ vkfn
¼Mh0,u0,0 izi= lya Xu½

n.M izfdz;k lfa grk 1973 dh /kkjk 164

¼d½ dh mi /kkjk ¼2½ ¼vi½ mfpr C;kSjs
lfgr vU; rkfRrod fof'kf"V;kWA

ukVs &
1- Mh0,u0,0 gsrq LykbM LVsu ugha djuk pkfg,A

2- Mh0,u0,0 gsrq LykbM rFkk Lokc gok eas gh lq[kk;Aas

j[s kkfp=
1-
2-
3-
4-
5-

jfs M;kys kWftdy ijh{k.k

¼;fn vko';d gk½s

1- ,Dl&js

2- ,e0vkj0vkbZ0@vYVªklkus kxs zkQh
¼;fn t:jh gk½s

iSFkkys kWftdy ijh{k.k

tSfod uewuk ;fn vko';d
gks

ijh{k.k dk fnukda rFkk le;
dkbs Z vU; vUos"k.k@ijh{k.k

leLr ijh{k.k i.w kZ djus dk fnukda o
le;

[n.M izfdz;k lfa grk 1973 dh /kkjk 164

¼d½ dh mi /kkjk ¼3½]
fjikVs Z esa l{a kis esa os dkj.k vfHkfyf[kr
fd;s tk;xsa s ftuls izR;ds fu"d"kZ
fudkyk x;k gSA

ukVs % n.M izfdz;k lfa grk 1973 dh /kkjk 164 ¼d½ dh mi /kkjk ¼7½ dh fdlh ckr
dk ;g vFkZ ugha yxk;k tk,xk fd L=h dh lgefr ds fcuk ;k mldh vkjs ls

,slh lgefr nus s ds fy, l{ke fdlh O;fDr dh lgefr ds fcuk fdlh ijh{kk dks

fof/k ekU; cukrh gSA

gLrk{kj
fpfdRlk vf/kdkjh dk uke
¼cMs+ v{kjksa e½as
in uke (Designation)
ekgs j (Seal)

Qksjfs Uld ueuw k@tkpa lca /a kh lpw h

1-

2-

3-

4-

5-

6-

7-

8-

9-

10-

Qksjfs Uld uewuk@tkpa lca a/kh lpw h lEcfU/kr iqfyl dehZ dks lkSia h x;hA

gLrk{kj
foops uk vf/kdkjh@iqfyl vkj{kh
dk uke ,oa vkj{kh uEcj
¼cM+s v{kjkas e½as
inuke@in@Fkkuk@ftyk
fnukda @le; ------------------------

gLrk{kj
fpfdRlk vf/kdkjh dk uke
¼cMs+ v{kjkas e½as
in uke (Designation)
ekgs j (Seal)

ukVs & ;fn vko';d gks rHkh mfpr vk/kkj ij gh fpfdRlk vf/kdkfj;kas ds ny
}kjk iquZijh{k.k fd;k tkuk pkfg,A

ijw d fpfdRlk fof/kd vk[;k izi= (Supplementary Medico Legal Report)
izi= Hkkx & d

uke
iq=h@iRuh@vU;
fuoklh
Fkkuk
ftyk
eyw tkpa dk fnukda rFkk le;
Mh0,u0,0 izkQs kbZy ds fy, ueuw k ,d=

djuk
¼n.M izfdz;k lfa grk 1973 dh /kkjk 164
¼d½ dh mi /kkjk ¼2½ ¼iii½& Mh0,u0,0
izkQs kbZy djus ds fy, L=h ds 'kjhj ls
yh x;h lkexzh dk o.kZu½

jfs M;ksykWftdy fjiksVZ

vU; vk[;k;sa (Other reports)

vk[;k dk foLr`r fooj.k

(Detail of Reports)

vfHker (Opinion)

lya Xud (Enclosures)

fnukda @LFky@le;
gLrk{kj
fpfdRlk vf/kdkjh dk uke
¼cMs+ v{kjkas e½as
in uke (Designation)
ekgs j (Seal)
izfrgLrk{kfjr
ofj"B fpfdRlkf/kdkjh dk uke
¼cMs+ v{kjksa e½as
in uke (Designation)
ekgs j (Seal)

ukVs % ,sls izdj.kkas tks nfyr mRihM+u vFkok vo;Ld ds ekeys gS muesa izfrgLrk{kj
djokuk vko';d gSA ;fn fpfdRld }kjk izfs "kr dh x;h iwoZ vk[;k eas dkbs Z

fojk/s kkHkkl ik;k tkrk gS rks eq[; fpfdRlkf/kdkjh }kjk fpfdRldkas dk
ckMs Z@deVs h@iSuy cukdj iqu% ijh{k.k fd;k tkuk vko';d gkxs kA

fpfdRlk fof/kd ijh{k.k vk[;k izi=&d
¼ySfa xd mRihMu+ @vigj.k@f'k'kq gR;k@vU;½
¼d`i;k fo'o LokLF; lxa Bu ds ySfa xd mRihMu+ ls lEcfU/kr fpfdRlk
fof/kd izdj.kksa ds lanHkZ eas fn, x, fn'kk funZs'kkas dk voykds u dj½sa

Hkkx&[k ¼iq:"kkas ds fy,½
?kVuk dk fnukda o le;
izFke lpw uk fjiksVZ l[a ;k@/kkjk@fnukda
Fkkuk
lgefr (Consent)
ijh{k.k 'kq: djus dk le; ,oa fnukda
ijh{k.k dk LFkku
¼fpfdRlky; dk uke½
uke
vk;q
tUefrfFk
¼;fn Kkr gk½s
irk ¼LFkkuh;½

irk ¼LFkk;h½

ykus okys rFkk igpkuus okys dk uke
rFkk irk
ijh{k.k ds le; mifLFkr lgk;d dk
uke in lfgr
igpku ds fpUg
fookfgr@vfookfgr@vU;
¼Li"V mYy[s k djs½a
orZeku O;kf/k ;fn dksbZ gS &

?kVuk dk l{a kis esa fooj.k



ijh{k.k (EXAMINATION)

lk/kkj.k ekufld n'kk

lkekU; ijh{k.k

d- psruk dk Lrj

(Level of consciousness)

[k- ukMh+ dh xfr

(Pulse Rate)

x- jDrpki (Blood Pressure)

?k- Å¡pkbZ (Height)

³ Hkkj (Weight)

p- cky (Hair) dk[a k dk cky mifLFkfr@jxa @iryk@ekVs k
yEckbZ@eVs sM ;k ukWV eVs sM
(Axillary Hair)
mifLFkfr@jxa @iryk@ekVs k
xqIrkxa ds cky

(Pubic Hair)

1- ?kVuk ds ckn oL= cnyus dk fooj.k

2- ?kVuk ds i'pkr Luku dk fooj.k

3- jDr@oh;Z@dhpM+@vU; /kCckas dh
oL=kas ij mifLFkfr v/kks oL=ksa ¼cfu;ku
vkSj v.Mjfo;j½ dks lq[kkus ds i'pkr
vyx&vyx dkxt ds fyQkQs esa lhy
dj]sa blh rjg v/kks oL=ksa ds Åij igus
gq, oL=kas dks nlw js dkxt ds fyQkQs eas
lhy djAas

cká ijh{k.k &
'kjhj ds fdlh Hkh Hkkx eas mifLFkr pkVs ksa

dks vfa dr djsAa
1- pgs jk
2- Hkqtk;as
3- iSj
4- ihB
5- Nkrh
6- vU;

vkUrfjd tuukxa &xqnk ijh{k.k

(INTERNAL GENITO-ANAL EXAMINATION)

1- f'k'u

2- yEckbZ &
¼1½ lda qfpr voLFkk eas ¼Flaccid½
¼2½ ruh gq;h voLFkk eas ¼Erect½
Lexs ek (Smegma)

3- fizI;lw (Prepuce)

4- [kruk gqvk (Circumcised) ;k ugha

5- vU; Hkkx ij pkVs @;k ihfM+r iq:"k
dks vU; pksVsa

6- xqnk }kj ijh{k.k (Anal Examination)

7- jDrlzko@vU; lzko

(Haemorrhage/other discharge)

Mh0,u0,0 izkQs kbZy ds fy, ueuw k ,d= djuk
¼n.M izfdz;k lfa grk 1973 dh /kkjk 53 ¼A½ dh mi /kkjk ¼2½ ¼iv½& Mh0,u0,0

izkQs kbZy djus ds fy, iq:"k ds 'kjhj ls yh x;h lkexzh dk o.kZu½

1- ,uy fLe;j (Anal Smear)
;fn vko';d gks

2- vksjy fLe;j (Oral Smear)

;fn vko';d gks

3- ius kby Lokc ¼Penile Swab½
¼i½ ;wjFs kzy ehFkl ¼Urethral meatus½

¼ii½ Qzsuqye ¼Frenulum½
¼iii½ XykUl ¼glans½

¼iv½ QksjfLdu ¼foreskin½

4- LdzksVe ¼Scrotum½

5- 'kk¶V ¼Shoft½

6- isjhfu;e ¼perineum½

7- uk[kuw dh drju (Nail Clipping)

8- Mh0,u0,0 gsrq vU; uewus&a ;Fkk

v.Mj xkjeUs Vl v/kksoL=] tSoh; inkFkkZsa

¼Biological Materials½ vkfn

¼Mh0,u0,0 izi= lya Xu½

n.M izfdz;k lfa grk 1973 dh /kkjk

53 ¼A½ dh mi /kkjk ¼2½ ¼v½ mfpr C;kSjs
lfgr vU; rkfRrod fof'kf"V;kWA

j[s kkfp=

1-
2-
3-
4-
5-

ukVs &

1- Mh0,u0,0 gsrq LykbM LVsu ugha djuk pkfg,A
2- Mh0,u0,0 gsrq LykbM rFkk Ldkc gok esa gh lq[kk;Aas

jfs M;kys kWftdy ijh{k.k
¼;fn vko';d gk½s

1- ,Dl&js

2- ,e0vkj0vkbZ0@vYVªklkus kxs zkQh

iSFkkys kWftdy ijh{k.k

tSfod uewuk ;fn vko';d

gks

ijh{k.k dk fnukda rFkk le;

* dkbs Z vU; vUos"k.k

(Any other findings)

leLr ijh{k.k i.w kZ djus dk fnukda o
le;

[n.M izfdz;k lfa grk 1973 dh /kkjk 53

¼A½ dh mi /kkjk ¼3½]
fjikVs Z esa l{a kis eas os dkj.k vfHkfyf[kr
fd;s tk;xas s ftuls izR;ds fu"d"kZ
fudkyk x;k gSA

gLrk{kj
fpfdRlk vf/kdkjh dk uke
¼cMs+ v{kjkas e½sa
in uke (Designation)
ekgs j (Seal)

Qkjs fs Uld ueuw k@tkpa lca /a kh lpw h

1-

2-

3-

4-

5-

6-

7-

8-

9-

10-

Qkjs fs Uld uewuk@tkpa lca a/kh lpw h lEcfU/kr iqfyl dehZ dks lkSia h x;hA

gLrk{kj
foops uk vf/kdkjh@iqfyl vkj{kh
dk uke ,oa vkj{kh uEcj
¼cM+s v{kjksa e½sa
inuke@in@Fkkuk@ftyk
fnukda @le; ------------------------

gLrk{kj
fpfdRlk vf/kdkjh dk uke
¼cM+s v{kjksa e½sa
in uke (Designation)
ekgs j (Seal)

ukVs & ;fn vko';d gks rHkh mfpr vk/kkj ij gh fpfdRlk vf/kdkfj;kas ds ny
}kjk iquZijh{k.k fd;k tkuk pkfg,A

uke ------------------------------------------------------------------------------------------------------- fjiksVZ l[a ;k----------------------
--------

fnukda --------------------------

pkfs Vy ¼t[eh½ O;fDr ds fpfdRlk fof/kd ijh{k.k dk izi=

(Medicolegal Examination Form for Injured person)

pkVs izi=

(Injury Form)

ijh{k.k izkjEHk djus dk fnukda le; ,oa LFkku
uke
mez
fyxa
iq=@iq=h@iRuh@ifr
irk
ftyk
Fkkuk
izFke lpw uk fjiksVZ l[a ;k@/kkjk (FIR No./Section)
vxzfs "kr djus okyk @ykus okyk ¼uke rFkk irk½

lgefr ¼;fn vko';d gk½s

igpku ds fpUg (Mark of Identification)

'kkjhfjd fooj.k (Physical Description)

pkVs kas dk fooj.k (Details of Injuries)

pkVs dk pkVs dk fLFkfr cukoV fdukjk jDrlzko vU;
izdkj
vkdkj xgjkbZ (Location) (Shape) (Margin) vUo"s k.k

lfgr

d`i;k lHkh pkVs ksa dks js[kkfp= ds pkVZ eas n'kkZb;s tks fd bl QkeZ ds lkFk layXu
gS &

vfHker (Opinion)
1- pksVksa dh izd`fr (Nature of Injuries)
2- pksVkas dh vof/k (Duration of Injuries)
3- mi;kxs esa yk;k x;k gfFk;kj@oLrq ¼ Weapon/Object used½

fdlh tkpa vFkok fo'ks"kK vfHker ds fy, vxzlkfjr djuk

(Refer for any test or further specialist opinion)

lEcfU/kr Fkkus dks lpw uk

(Information to concert police station)

ijh{k.k dh lekfIr dk fnukda rFkk le;

dkbs Z vU; vUos"k.k

(Any other finding)

gLrk{kj
fpfdRlk vf/kdkjh dk uke
¼cM+s v{kjksa e½sa
in uke (Designation)
ekgs j (Seal)

Qkjs fs Uld uewuk dh lwph@vUo"s k.k izi= lEcfU/kr iqfyl dehZ dks lqiqnZ fd;k
x;kA

gLrk{kj

iqfyl dehZ dks lqiqnZ djus dk fnukda rFkk le;

foops uk vf/kdkjh@lEcfU/kr iqfyl
vkj{kh

dk uke rFkk vkj{kh uEcj
¼cM+s v{kjkas e½as
inuke@in@Fkkuk@ftyk
fnukda @le;

gLrk{kj
fpfdRlk vf/kdkjh dk uke
¼cMs+ v{kjkas e½sa
in uke (Designation)
ekgs j (Seal)

uke ------------------------------------------------------------------------------------------------------- fjiksVZ l[a ;k----------------------
--------

fnukda --------------------------

;kSu vijk/k ijh{k.k vfHkys[k@uke %

ijh{k.k fnukda
fpfdRlh; ijke'kZ grs q lgefr
&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&¼LokLF; dehZ dk uke½
}kjk eq>s ijh{k.k dh izfdz;k] lk{;ks ds lda yu ,oa iqfyl vFkok U;k;ky; grs q
fudkys tkus okys fu"d"kksZ ds fo"k; eas tkudkjh nh x;hA
eS&a &&&&&&&&&&&&&&&&&&&&&&¼L=h dk uke½ fuEu grs q lgefr iznku
djrh gwWa %&
ijh{k.k ] tuukxa ksa ,oa xqnk dks lfEefyr dj
fpfdRlh; vUo"s k.k gsrq ueuw ksa dk lda yu fpfdRlh;
leL;k ds funku ds fy,
vijk/k vUo"s k.k gsrq uewukas dk lda yu
QkVs kxs zkQh
iqfyl vFkok vU; tkWpa drkZ dks miyC/k djk;h xbZ ekSf[kd
,o@a vFkok fyf[kr fjikVs Z A
fdlh fpfdRlh; voLFkk grs q iznRr mipkj

L=h ¼vFkok e+ krk&firk@vfHkHkkod@lja {kd ds gLrk{kj &&&&&&&&&&&&&&&

vxa Bw s ds fu'kku &&&&&&&&&&&&&&&&&&&&&&
xokg ds gLrk{kj&&&&&&&&&&&&&&&&&&&&&&&
fnukda &&&&&&&&&&&&&&&&&&&&&

;kSu vijk/k ijh{k.k vfHkys[k@uke %

ijh{k.k fnukda %

lgefr i= i.w kZ djus grs q fn'kk funsZ'k

fof/kd fpfdRlh; ijh{k.k grs q lgefr vfr egRoi.w kZ gksrh gSA
lgefr izk;% lfw pr lgefr dgykrh gS D;kfsa d ;g vi{s kk dh tkrh gS fd L=h
¼vFkok mlds ekrk firk ;k vfHkHkkod@laj{kd½ dks leLr izklfa xd fu.kZ; ls
voxr djk fn;k x;k gS] ftlls fd L=h rRdkyhu fLFkfr eas vius fy;s loksZRre
fu.kZ; ys ldAs

L=h dks fuEu le>uk vko';d gS%&
• bfrgkl tkudkjh izfdz;k eas D;k 'kkfey gkxs k ?
• fdl izdkj ds iz'u iNw s tkus gSa ,oa dkj.k ftl ds fy, iwNs tkus
gS%&

mnkgj.k& eSa vkils vkdze.k ds fo"k; esa tkuuk pkgWwxa kA eSa ;g tkuuk pkgrk gWwa
fd geykoj }kjk vkids 'kjhj dks dgkWa dgkWa Li'kZ fd;k x;k] ftlls fd ;g Kkr
gks lds fd vkids 'kjhj ij pksV ds fu'kku fdu LFkkukas ij gSa vFkok geykoj }kjk
NkMs +s x;s lk{;ksa grs qA

• ijh{k.k xkis uh; ,oa xfjek i.w kZ ifjfLFkfr;ksa esa fd;k tk;xs kA
• L=h dks 'kS;k@iyxa ij fyVkdj vko';drkuqlkj foLr`r ijh{k.k

fd;k tk;xs kA
• tuukxa ,oa xqnk ds ijh{k.k grs q L=h dks ml fLFkfr esa j[kuk

vko';d gkxs k ftlls fd mi;qDr izdk'k eas vxa ksa dk Li"V #i
ls voykds u fd;k tk ldAs

mnkgj.k& eSa vkils dgWwxa kWa fd ijh{k.k 'kS;k ij ihB ds cy ?kqVuksa rd pknj ds
lkFk yVs tkb;As eSa dgwWxa k fd ?kqVukas dks Åij dj ,fM;+ ksa dks lkFk j[krs gq, nksukas
iSjksa dks QSyk nsa ftlls fd izdk'k ds lkFk vkids dwYgs ds {k=s ¼pelvic area½ dks
lko/kkuhiwoZd n[s k ldwWaA

• tuukxa ,oa xqnk {ks= nLrkus ¼gloves½ igudj ijh{kd }kjk Li'kZ fd;s
tk,xa sa ftlls fd vkarfjd lajpuk dk HkyhHkkWfa r voykds u fd;k tk ldAs
Qheys cFkZ dsuky ,oa ;kfs u ds vkra fjd ijh{k.k grs q Lids qye uked midj.k
,oa xqnk ds vkra fjd voykds u gsrq ,ukLs dksi midj.k dk iz;kxs fd;k tk
ldrk gSA

• ueuw k ,d=.k ds vUrxZr 'kjhj dks Lokc }kjk Li'kZ dj 'kjhj ij mifLFkr
tSfod ueuw kas ;Fkk flj] xqIrkxa ksa ds cky] ;kSu vxa ksa ds Lkzko] jDr] e=w ,oa
ykj vkfn dks lda fyr@lajf{kr fd;k tk,xkA diMk+ sa dks ,df=r fd;k tk
ldrk gSA U;k;kyf;d ijh{k.k ¼forensic analysis½ ds leLr ifj.kke
L=h dks miyC/k ugha gksxAsa

;g vko';d gS fd L=h dks voxr djk;k tk;s fd LokLF; dehZ dks
iznRr vFkok ijh{k.k mijkUr izkIr tkudkjh U;k; O;oLFkk dh vfuok;Z fjikfs VZxa
vko';drk ds vUrxZr vUo"s k.kdrkZ dks vijkf/kd U;k; izfdz;k ds rgr nh tk;xs h
;fn L=h fof/kd dk;Zokgh grs q fu.kZ; yrs h gSA LokLF; dehZ dks miyC/k djk;h xbZ
tkudkjh] L=h ,oa LokLF; dehZ ds e/; O;fDrxr ugha j[kh tk ldrh vfirq
Hkfo"; eas fdlh le; ij U;k;ky; esa ml ij cgl gks ldrh gSA

L=h dks j[s kkfp= d@s QkVs ks ds iz;kxs ds lEcU/k esa lpw uk nh tkuh pkfg,A
QkVs kxs zkQh U;k;ky; grs q mi;kxs h gS rFkk xqIrkxa kas dh QksVksa ugha yh tkuh gSA

mijkDs r lHkh lpw uk,a L=h ,oa ekrk&firk vFkok vfHkHkkod@laj{kd dks ml
ljy Hkk"kk esa nh tk, ftls og HkyhHkkWfa r le> ldAs

fof/k foKku iz;kxs 'kkyk] mRrj izn's k] y[kuÅ&226 006
Mh,u, ijh{k.k grs q

Mh0,u0,0 ijh{k.k laca/kh fn'kk funsZ'k

uewukas dk ladyu@laj{k.k

¼1½ jDr ueuw s dks LoPN dkVu xkWt@fQYVj iis j@,QVh, dkMZ ij lq[kkdj dkxt ds fyQkQs eas lhy dj
Hkts uk okfa Nr gSA
¼2½ 2 ls 5 feyh jDr lES iy lEHkkfor ekrk&firk ,oa lUrku ls thok.kqjfgr bMhVh, okW;y ¼vf/kd`r

esfMdy LVksj ij miyC/k½ FkeZl ds vanj cQZ esa j[kdj Hkts uk okafNr gAS

¼3½ izR;sd jDr lSEiy vyx&vyx ok;y eas fy;k tk;xs k ,oa mlds Åij yos y ij u feVus okyh bad

ls fooj.k vafdr fd;k tk;As yscy ij lES iy yus s okys fpfdRlkf/kdkjh] foospukf/kdkjh o xokg ftlds

le{k jDr lSEiy fy;k x;k gS ds gLrk{kj gkus s pkfg, rFkk jDr ,d=.k dk fnukad o le; vfa dr

gkus k pkfg,A ycs y dks lSyksVis ls ljq f{kr fd;k tk;As

¼4½ iSrd` @ekrR` o fookn lac/a kh ijh{k.kkas eas lEa Hkkfor ekrk&firk ,oa lUrku ds jDr lSEiy rFkk O;fDr

dh igpku grs q lx&s lca /a kh tSls ekrk&firk] ifr&iRuh o cPpkas ds jDr lSEiy ,oa cykRdkj ls lca af/kr

ijh{k.kksa esa ihfM+rk] lHa kkfor vfHk;qDr ds jDr lES iy Hkts rs le; iiz = la[;k&2@2 nks ifz r;kas eas

vyx&vyx Hkstk tk;As

(5) ,QVh, dkMZ dks iz;kxs djrs le; nLrkukas dk iz;kxs djas rFkk lna "w k.k ¼Contamination½ ls

cpk;As

• ,QVh, dkMZ ij lSEiy nkrk dk uke ,oa vfHk;ksx dk fooj.k] jDr lSEiy dk lxa zg.k fnukad
,oa le;] jDr lda yu djus okys fpfdRlkf/kdkjh ds gLrk{kj vfa dr djAas

• ,QVh, dkMZ ij Nis o`Rr eas ¼< 125 µl ifz r 1 bpa o`Rr ,oa 75 µl izfr 3@4 bpa o`Rr½ lSEiy
dks ldfs Unrz oR` rkdkj xfr ¼Concentric circular motion½ esa Mkydj Nk;knkj LFkku ij 30

feuV rd l[q kk;As jDr dks dkMZ ij er jxM+s ,oa ,d LFkku ij jDr er MkyAas

• ,d oR` r eas pkj ikWp NksVh&NksVh cWwns fp=kuqlkj Mkydj l[q kk,A

• ,QVh, dkMZ ij LoPN l[w ks vyx&vyx uewus dks vyx&vyx fyQkQs esa j[kdj Mh,u,
ijh{k.k grs q i;z ksx'kkyk Hkstuk lfq u'fpr djAsa

¼6½ QkWjfs lad uewukas dks fuEu idz kj ls Hkstuk okfa Nr g%S &

jDr ds /kCc@s nkWr@cky tM+ lfgr iRz ;ds izn'kZ dks vyx&vyx l[w ks LoPN diM+s

gM~fM;kW@vfLFk;kW vFkok dkxt esa yisV dj Hkts As

iw.kZr;k tyh gM~Mh o jk[k ijh{k.k ds fy,

mi;ksxh ugha gSA

eq[k Lokc@ cStkbuy Lokc@,uy Lokc@Leh;j Lokc LoPN :bZ esa lq[kkdj] dkWp dh ok;y ;k

LykbM 'kh'kh esa j[kdj vFkok dkxt ds fyQkQs esa

j[kdj rFkk Leh;j LykbZM l[q kkdj vjaftr ¼not

stained½ n'kk eas fyQkQs eas j[kdj Hkts k tk;As

ekWlifs 'k;kW@Ård 50&100 xzke Ård@ekalifs 'k;kW Mh,u,l ¼efs Mdy

LVksj eas miyC/k½ vFkok ukeZy lSykbu ¼0-9

ifz r'kr½ dkWap vFkok IykfLVd dh pkMS +s eWqag okyh

'kh'kh esa lajf{kr dj Hkts Aas l[w kk ued ¼lkfs M;e

Dykjs kbM½ vFkok cQZ eas Qzht dj lajf{kr fd;k

tk ldrk gAS mDr lSEiy dks QkesZyhu esa
lajf{kr ugha fd;k tkuk pkfg,A

• ots kbuy leh;j LykbM dks vjfa tr ¼Not Stained½Hkts k tk;As
• vKkr 'ko@e`rd ds ueuw kas dks fuEu izkFkfedrk ds vk/kkj ij ¼nks izdkj ds ueuw sa½ ,df=r@ifjj{k.k

dj Hkts uk okfa Nr gSA fo'k"s k ifjfLFkfr;kas esa gh nks ls vf/kd ueuw ks dh vko';drk gkxs hA
¼i½ 2&5 ml jDr lh/ks gn; ls thok.kqjfgr bMhVh, okW;y eAsa
¼ii½ 50&100 gm fyoj@yky ekWlifs 'k;kW 0-9% DNS esa ifjj{k.kA
¼iii½ lkcqr gMf~ M;kW@nkWr dks ifsz "kr djus grs q izkFkfedrk fuEuor~ gS%
¼1½ Qhej
¼2½ Vhfc;k
¼3½ º;ew jl
¼4½ nkWr ¼ekys j dh izkFkfedrk½
¼5½ ilyh
lhfyxa ,oa iSfdxa

• izR;ds jDr lSEiy dh ok;y dks yk[k ls lhy dj vyx&vyx ikjn'khZ ikWyhFkhu esa j[kdj FkeZl
¶ykLd eas cQZ eas j[kdj 72 ?k.Vs eas tkWp gsrq iz;kxs 'kkyk esa Hkts k tk;As

• vU; Qkjfs Uld izn'kksZa dks yk[k ls lhy dj vyx&vyx dj dkxt ds fyQkQ@s diMs ds c.My esa
Hkts k tkuk okfa Nr gSA

izi= Mh0,u0,0 ijh{k.k&1@2@2011
fof/k foKku iz;kxs 'kkyk] mRrj izn's k] egkuxj] y[kuÅ&226 006

Vys hQkus u0a @QSDl&0522&2336232
bZ&eys %& [email protected]
vxzlkj.k&izi=&Mh0,u0,0 ijh{k.k

vfHk;kxs l[a ;k%------------------------------------/kkjk-------------------------------------------------------Fkkuk-----------------------------------
tuin-------------------------------------------------jkT;-------------------------------------------------------fnukda ---------------------------------

1- vfHk;kxs dk lfa {kIr bfrgkl%&

2- ijh{k.k grs q ueuw kas dk fooj.k%&

dz0 l0a ueuw k fy;s tkus ueuw k nus s okys ueuw s dk lzksr fVIi.kh

dk fnukda O;fDr dk uke ¼lEHkkfor ekrk]

firk] larku] vkfn½

3- ueuw k lhy%& foops ukf/kdkjh ds gLrk{kj
¼yk[k dh eqnzk dks lSykVs is ls doj fd;k tk;½s uke%&---------------------------------------------
inuke@jcj LVkEi&----------------
fnukda %&-----------------------------------------

vxz"s k.k vf/kdkjh ds gLrk{kj
uke%&---------------------------------------------
inuke@jcj LVkEi%&--------------
fnukda %&-----------------------------------------

dze'k%