FORM C9MP AAee Ruls 2 53 (c),254 (c) (iii),25 4 (8),2 ss Q) (iv) A
T ABOUT THE MOTAR VEHCLES ACEIDEN
e{-q-fr qMq €{rE TI-tq{ Yr.
q !M'q €qI'{ i fl-q smql qF$ Yr6t
R 5.{.q. q soq or./\( SOII R\e3 1oY 3T qTEqi
qY 3ilrErrd m. d-a oQ/ot/q,Z A oZ.?o 4T Efrqfq
3rqqkl fr-*rrl qriqsT AqT u.s rrrg ilR gq€R an*}en A riot-d qT €.fl sli I
x q€ql/ qqqlq -1lq q eccll @ qq Ro {.3ffizt5qr}q.frerqr ffi +qr q\.€. 3rq'fr
q€q]7r|Td qr{ 3q=m ffiqTEITq|aOET qlq
rTr€-+tq ntr+T EiRqrd iTTIS{
qlE{|{.l-Tq-{ 3TTM !cFT'{ qo {{T q !F gq -iq/ €1 qg - q?Rq
\Y qr.aq qTe'+Ta qlq q 5yi w.at {dql qriT] s-Kt-F-{ q.q Rc {|. t-fo ffiqq-o q-o+q-r& M rpq 3ilsfl R't ts RrqT qiqg{
q|6{ q{qffl qr{rs qq gq 1x/ R o{Yo o{ Q\:o\r
ulf,q q{dnT m srqtoq qqfq
qTrsei rTrS{
a 3{qlTf, ffiA qraq ql,e-sTA
qtE q g(dl+-rd ffiqq-o +qo RqurT iT,tgl
3 3{qqTn qrf,ir} RqT qqufriqtq q fEqTrrq qrqioqqT
!dT
snq{fr snqql eJq.g q;Ko S$f{q mq-fi
{o 3rqqFr qrilqTq Fql. +qq 3004 I 1333 58 83 4/00/000
Rm gtozwqa 9rqql l07l17 to 09/18
q1 vil- 3rqqTn yzF{uTkT ffisT{qTfi
q-< n+qrno elTifr Fua gET Erco 65-a 3nffiq qEF'
m"s-q Nq q,i qF{kttTlf, qr({ *-{u-qrd qT'0 .
il-ffi FT&-t)
N.C.R.B \'1,tl I' ot l(.|. l. F.-l
FI RST IN FORMATION RELOBT-(Under Section 154 Cr-.P.C.)
serqq+{rm€(qRr 154 ss cFfiql nR-ot b rai)
Time period (vw ffqfq1r{6r 7 Time From 1vw i 1n6;:o eS Time To (srq trtr):Q&rg{d
(b) Information recetved at P.s. (etFrT q-ei tfq"fl nHDate (ft-rio ): 04/01/2018 Time (qTq):14:30 E-$
(c) General Diary Reference (+ffrrdr Entry No. (cftfr 031 Date & Time (ftlio 3{tr rfl'r44/01/2018 15:35 s-S
4. Ty eof Inforrnatlon (1{ffiI 6'IT16Tr): Oral
5. Place, of Occurrence (rrc{rferc{) 3
t. District (G'aI):
(€ t{r&i'I 14io-ffi-€frRtrTZ-t,J
iSilaFiqq;liZZiqT6q1iEftqE;EsZZ
3. (al occurrence of offen<e (oc-$q 6l tr6{r}:
l-,Day (Hd):gssE
P.S. (erFI):3{q-{ Year (T(i): 2018
Date From (tr{ifit l:03/01/2018 Date To ( Rqf6 ilr ):03/0U2018
Beat No, (ffe d'.):
(d) Nationality (qrficar): qra
Date of lssue (qn1 o<i ff
1.{a} Direction and dlstance from P's.1qs1 t qff dl-t Rvn tERpI. 3 frffi
(b) Address tqaOf*tqisi irn lf's ri5'r'n,gc-st rr€is{ i 'r*d ' *€ olGr4 cFrTt
{c) ln case, outslde the limit of this Police Station, then (riR qrar $qI b srdl t a}}:
l{ame of P.S.(s{rfl oI;ttrl}: District(Statel (ffilflI
Complainant / Informant (ffrfi{ffitrtqs-{r6-df ):
(a) Name (1Tq): trlrEqlq 4zgara {di'rsra +o
, hr Father's/Husband's Name({Sd /'-' qd or qrq) r
(cl Date/Yeir of Birth 1wl ftft / s'i ):1973
(e) UID l,lo. {{3{tf,$ €"}:(fl Passport No.(crsqlC
Place of lssue (qn1 o-<i or +qrc );
(g) ld details (Ration Card,voter lD Card,Passport,UtD llo.,Drivlng, s.uo.tm.€.1 ,ia iipe ( rc qa 6t t:iliRi -
Fd numbd (c-il{r{ {igii
(h) Address (qat):
, Talr{nqdi n'iffi ffi rffi ffi ffi*ffi ffi : K;lARc r.ffi;qufi RcT, ffi(i) Occupation {iq{srq):
(J) Phone number (qNrs d.)1"oo;1"
1f<6a €.): 91-7387893293
7. DA{alls of knou.n/suspected/unknown accused with full particulars (f,rd / {ft's / tH-srrd 3sftgifi q'T * fA-4{sr *rftro ffi};Accused More Than (rrtrrd 3[r*ff C-r * sTfA-6 it d
qfrsqtftT v*er''ry CIrgfl
qFTgT sr6T.
Address Type {rrcn 6I n6-R
i'r;;C-tffit--- ----*---iAiiil (sffit--*58 {(1 q.MH3rsrdiF 3rqrq 32sS
. S,Ro..(Ai'l',:.:Lr,;?-
E. Reasons for delay in repcrting by tfre cornpiainant/informant (|ffi/ W{roo{gnr ffiC tff t
9. Particulars of properties cf int€rest 1{qFqg glqfi ot fuq{sr):
''
5: iG:- (fl l F ;i) # ;n; ei16sjii;V ii{{fi' Ati UP -ro
p e rtv itpe ( alue{l n
lo.Total value of property (ln Rs/-)-qq+t? fi gE T:q(r q):
11.Inquest Report / U.D. case No., if any (Tig €{}fi ffiJ I q'sl's5qq ri., qR E't{ d t:
,,s.to.(Eri)]u,tDF-_x-lgr_qsitX."-{:{9_Y_,f.I
12. First Information contents (cel{ 1{E-{ deq }:
3i: . q 6A:{ - 06/18 0dq 27g, 338 q,<ri} rm-+<n 134,777 'r'.\qrSffq,3u'dlEr oF[$-d o-efi ld.aii{|q|c.i]€ o-afr d.'i.7387893293 qedKel6:{,+{iq a{rr $€ {xS f'n gr{{f 6q$ q {FIld qR" sq-ri rTrKq-.{T iir. td,- ft.3/1/18+ 2ol30sr. sfsd dr. ta:. R.+luraiq}*dr qiffi smr B.a/1116414/30qr. qrffd.q non o-erqnmrdt slriql-1fr qn q.ur1:i-cbr:zo#-qr61o<rea qffi -ffi \fl $6 s-.r*lts d€ oi-dfi ,{Fry ftd{ut'- ftdwT.iffi 3iri ft cg<
^s-fiI.arfto ffi q frffToft qT-trd Rqt4-et q-cF[ a srq-d q-sc iTlfrcr"{r cfiurtrqRfid qtcn q|-{qtd F.MH12-E859751qFd rrsdHl $<{ rrat q?4
ro-o q's't.r"lHsr-coisz6#'+d#';rqA #d.i6r'iq1afu .Rq-E"i'Tri qrdg{ fu{ffii gaw s_q6 +sq.i'ftr gsrErf, f,on rfi* * .,t* fuf*an Rqt€ {G-{ 6-dc 27 9, 338 qr<4 qrsgq t34 ,177 q}ql-fiI nc{dr Ersd atdl
,=t
13. Action taken: Since the above information reveals commission of offence(s) u/s as mentioned at ltern No. 2..
tfi TS trTffi : rlfl+ w-*to vn-.on1 * qar qerel t fo.s{qttq qF{i 6r ({-6'r rq €. 2 it s$-c er{r b a-rc t lt(1) Registered the case aqd took up the Shailesh Sunil Sankhe(l (lnspector)) / POBN87401 cr
investigation: (IFFruI Ed liF-qr fl1 3{R ttrE iS
(2) Directed (Name of l.o.) (iriq 3T{iffi or qrq): Rank (tK}:
No.( €.): to take up the Investigation (ai qiq !flTi crs + *i b ftc fti{r ftqI Tqr} or {qr}
(3) Refused investigation due to (qiq t
61 1$ 6nur ion lOfl qr)
(41 Transferred to P'S.(g{FIT)] District (FcTr):
on point of jurisdiction (ai daf*on b onsr trf,iaftfl .
F.l.R, read over to the conrplainant / informant,admitted to be correctly recorded a-nd a c-opy gl-ven tolhecomptainant / informant free of cost. (fffi I r{s-rTfdf 41 fi?rtYdl qC 6{ g{R Tdl, Fdl qd S€
qFIr qt{ 96 ir.rql FI{qsferorqa-rdf 6) d on ltR.o.A,c.{3rR. s*.c.S.}
14, Signature/Thumb impression of the complainant / informant.(lir6r{ds-dl / {lfirfi-dl 6 E*dltrt / qTJ ffT F{{rFIl:
@15. Date and time of dispatch to the court tercrd-d d ns"I A k{iF
sfts {i{q):
Signature.of Officer in charge, Police stationlerr{r rqIq A 6Krs{)
Name (:nri):Shailesh Sunil Sankhe
Rank(rrqh | (lnspector)
Ho.(€.1: PoBN8740L
/A'l'(24'4q*)'D.> .B>ro^ q p t/ <
g9
e RrME DETATL* Fc*i't Form:2-A-
3@Tqr awhmrst qgqi
,#*fi'vT' &o/ 6*:\H j2" / / 3 ff#
oal o | ] 2o t8
Father's/Husband's Name :
fiari /'i-im qa '
e> )/)'q/'4))'
4t*Jt
fffress12i:(pi<)ig1 D,'&:i"iQ4t ett: 4);fV 7"t' etr
Xerer q'fir-i (I@taT rd trqftq-6) :
(i) ;H;1""0 Blqili (ii) .H";!ead:
r/o.) ,byr,rlt.
(iii) .Method (s) :
q-{fi
1 ..s*...... ......'.\*qdro/<qo t.1
Aieztli? q/d2
atdtc
6/92
{vii
(vii)
il?Tgr ?rfl.
a:riaCr4 9 firr-vtt-<
{
Particulars oi the viciims {Attach separate sheet, if required) :
e-diET dqptrf, (enqeq-o 3fsdrc sdz tnt'G aii-stfl):
Motiveof Crirne:
f-€tzi B-q:
Description of physicalevidence from the scene of crime for the property recoveredrseized for the purpose oi
investigation :
nqFs-qtTff reqar grtel l€W f€-rqi iiTtq6{ ffid-er/q1n *dr q]cqii qa+'i:
-rp
ffi
Narne:nls:AdCress;rid] :
1. Witnessrnei-qn
2. Witnessqtei-<I-t
.. .:f.....<.t/d:/2 q6) 9S4E/-\
\**'y
FddresS,,.
'di-l
{10) I (11)
Religion I SC/
q{ i .Trd}/
Date/
vid.1cllil(9/
qd
|, ^\
crl
il | Name
3i m.l clq
(1) | (2)
EI r.J
FtrBt-H- F
a=t\r\cl,av
F
Ulo-,p
FK
N:G;v'n
,s
l,zlr"IttpF
(lsN\^o(
4Et\b
F
ffi
/\6T"XT-
Form.:24
oate 6efo t/pals rme | 5/35d'qr*i qcD
qftn Erin: \ r J -- WA#q€+ srarKT* si?€}r-
\
10. Sketch/fi,4ap of the place o{ occurrence {Atiach Sketch/Map r+ith legends sepa.raieiy, if needed. lf to scale,
indicate so. lvlay be cer-ti{ieci and signed by witnessess, if required :
sei-$ cite ierf}.ar/Tfl:ir ("rrq' l1]sgqr€' qiFdi+e ffii/cflRlT {.qffi "irsrqr.
<dqri sriE{qs GrrtaTf€ *rR<r** cqF@Trs-'riil idm )' V '.-'.
%hr ?, \ 'r) qP/t1
[)lano;:-" -t'l:iu tl.Jarul '/( \
lr,1-l-e) 'gg.c-rn-J{ ,'-i.,.r.:c' ., , r:* =:--i" /+, - t',2 *.'!:' )il
"oqr25rT-a>_rarTTT-sq?.>-i-\
sx€\
time ol visit to the place of occurrence :
s.ni\ riz.{rTerdt a$-e q iafJ
of the place of occurrence :
)-
sq-irlrje.-R or-Q-a m * N
3--I,l
b.rlt
R\
=@
^8 frnk'
A-> *'F"z,A-n/o//<f sia{ }e #
s isnature * r(Jrffi,J ottir", *i*,
X'n"' c<i:Pr,t,4S\
$
)cg ci:.,' -.!-(iT
q+q74*? at& psa E-Dbq q*/zto,, "ffiq c//q/<al 44: -yt&*{? k8 *e A,;,#*dg& 8*.*.
^ /a"rs qrT &Fnej&_rrt,r,**.';:3:$' 'i
.\'.".i|.k#F.qr\
-'t)'qr'ot, ,94ri) a,rqd ci Ay 'rbq 3a€pt) (f *rr,)r*Jr;;h , ,' 1
ui)t)=^-A, -.\ ,: rqRft"*r4] Bo,D q-qr,.r"*.>" A; s,0,,7 ,,V ;;;';ri-:b;6> cgf4b 4-": q:/ *frog,$ oqc arb / hrr.ort q,-?4t;,.,.pnil ,)o,n)->, b grUlrr,,,}.
atqh &ca/lrrb Biar tct()r#hBc Ab> +\ trro/t-4/ *>g8 EEa qr2 "rrob er"j ,r,-),T^rf^A &4sv.1 416r ed)( <rdy at*lbro ?b, I F *)q y V,I,l-q ,> o&t ot/eer D8 sr6t/ b./nt rA j>; a n A /
Eau'qtq'ry4ry /y1n rz-<Ds7v-f> u.a,e oqgo 4r ) e. {h/),(3 91r,ront+D q,Z getaro/ ktc hr>c dZg G<vnt t qv,7\€19+'E1 a'82 *gt q4 o lutrflr ca-e,A -utt tttd-,D eo4et>r4e/tu71;p* aw, q<ar1 )-rb'*,rf' p^*f qD y,r,-b<*,cZ-lra qt42 ,t,!o6
^r,/.o!bay ,gf ,r*,,g * gA 4*,14ua Yq dnl v&* \,\ g'ue,qbc arr) ryQ ertr^A ",',a/n,-'lr7ba"**t/ 3o, bsa< /.qc< hry gl, eezTrrT*/44) o,r-frAn1htorq|0 h"t//ne prgs Et-/ qfl"
i7a t/'/qal /qt/ dhtol'tf kar .r\gt)ef a)6ro,bp^nb dq<{ 6+ur,,b 46s) qnM.a. 4an1brry,
-&f7<..u i"r 1 n1 6tnIJ4.oal ol/ ^l> ) ({tgf a.,r 44, ^4} lttlgar ,irhat,
ryirdq"i q'fuR(qr_@6-dqlz4_q-d
)
. qrqT gTE{.
fu-ca nrg."o ltqSTg , SpkM {fl:,6h .Attrr lr?//fr aArlrf
i
ffi@H-M tal'Hqt') d-q( sT$d.nl qtu qfr"sd q"Tqf#tri"Hfr.HitfuHffqffi o*r q,{r HrreT
Wq qEd{ffi sT-tqTqT qqTH CdT qi q.ftfNTqr B-fl q-dft"qr q-dqr 3I|tn. fil?T qT-dpft
H#T*ft:drsg;rrr
fu*,ffiil
fuffiTh#ew
zTrww
-qT6-.q-ffi*i
""t"-"""""':"' I..,.,.,t.,..\. -dfuEqh"wcr 1.aod qtriqi
q"srrl 31c€E 3II-flI qqrari E qrflr TdEqr-i .........
qrrgE t"q"r qT& i-d *erdq cTffi T{J:._..C_tr/}?: "Fff...'.
q\ai..-4ffi,n.''.-'. aq ff,#A,......n Eii qTdfr'qTd t-d
q-rg]"dqq qfrfd q-q.rqqa n-qR s-{u-qK oTrdT cfgq riarfr ogl qItrqT ERt-{i ci-{-dnn
wRr o_w WqT d.flT.
lr-nzrr qiuilnqnT ri?-nqi fd;irrF +J' or I I s .t .. .l..ll9E.qr. Ts mw //.:..9.0..qr
TiqBGT
rqierft qq'i. r-
rqrerfr q-q q. z-"-$ai#-'rKg.*-(*frrrG
p rn lQt-
ks /4 lvs --PA4'-4 1 and
11 -12-47
on the oeao Sitiv Tukendra Rajkumar Rahaqandale
Taluka Nagpur
. of Maharashtra. Bombay'sated 4-7-62.1
m examination held at Government Meclical College and Hospital,Nagpur
MLPM No. vP8/36/201807 t0"U2018
C.M 67e
DispensaryHospital
o, VillageCity
,District Nagpur
P.S. Ajani, Nagpur
Trauma Centre, GMCH Nagpur
F ttpc Rala , B. No 1760, P S. 41ani, fJagpur
1 1:50 Hrs
1 1.55 Hrs* 07 /01i2018
12:55 Hrs
As per Police inquest and requisitionDate and time of death is 07tO1t2O1Z at 00:45 HrsH/o - Road traffic accident near Tumsare ward on o3ro1r201gat aabout 0g.30 Hrs
{fW ql#7r ftr?ererffin€rmffi
qnllr erft.
Shivshaktinagar, Ajni
,by Dr. V.P.Bhalerao, Assist.prof
4.
l. General Particulars-
1. (a) tsy whom was thecorpse sent?
{b} Name of place fromwhich sent.
(c) Distance of placefrom which sent,
2. By whom was the corpsebrought?
3. By whom identified?
The, date, hour andminute of its receipt.
(a) The, date, hour andminute of beginningpost-mortem exami-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 examination trgila
,v/
.
Ii.Ii:iI li:
b. lf not examined atDispensary or HosPital -
(a) Name of Place whereexamined.
(b) Distance from Dis-pensary or HosPital-
(c) Reason whY the bodYwas not sent to theDisPensary or HosPital.
tt. External Examination'
Sex, apparent age, raceor caste.
DescriPtion of clothesand of ornaments on thebody.
Condition of the clofhes-Whether wet with water,stained with blood or soiledwith vomit or foecal matter.
9. Special rnarks on the skinsuch as scars, tattooingetc., anY malformationspeculiarities, or othermarks of identification.State of the teeth.
ln newly born infants, thelength and (if Possible), theweight sf 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.
Admitted at Trauma centre GMCH Nagpur where he died during trea
07101t2018
MaleAged about 22Years
Body wraPPed in Brown Pink blanket1. Yellow underwear
lntact & handed over to NPC 1760 on duty
Dead body identified bY NPC on dutY
Teeth-lntactldentified bodY
Not Applicable
F
7.
8.
of body-well-nourished, thinted, w_6f or cold.
11. Rigor Mortis '- Wellslight or absent;present in the wholepart onlY.
marked,whetherbody or
PM No. VPB/36/2018 Dated 07/01/2018
Strongly BuiltCold
Present and generalized
No signs of decomposition present. Post mortem lividity present over back andbuttocks except at pressure point.Fixed
Feature : Injured
Eyes : ClosedCornea '. Hazy
Mouth : Closed
Tongue : Inside the mouth
oozing of yellowish fluid through mouth & nostrils
Injuries present, reffer columnno l7 l.V. mark present over dorsum of both hands
12. Extent and signs of decom-position, presence post-mortem lividity of buttocks,' loins, back and thighs or anyother part. Whether bullae
. present and the nature oftheir contained fluid.Gondition of the cuticle.
13. Features - Whether naturalor swollen, state of eyes,position of tongue: natureof fluid (if any) oozing frommouth. nostrils or ears.
14. Condition of skin - Marksof blood etc. ln suspecteddrowning the presence orabsence of cutis anserinato be noted.
'i
No injurY to external genitals
Purging of faeces Present15. Injuries to external genitals'
lndication of Purging
16. Position of limbs -EsPe-gi311Y of arms and
of fingers in susPecteddrowning the Presence or
absence of sand or earthwithin the nails or on theskin of hands and feet'
17. Surface wounds andinjuries - Their nature, Posi'tion,dimensions(measured)and directions to be
accuratelY stated-theirprobable age and causesto be noted.
lf bruises be Present what isthe condition of thesubcutaneous tissues ?
(N.8.- {When injuries are
numerous and cannot be
mentioned within the sPace
avaitable theY should be
mentioned on a seParatepaper which should be
signed).
18. Other iniuries discovered bY
externai examination orpalpation as fractures etc.
(a) Can you saY definitelYthat the injuries shownagainst serial Nos- 17
and 18 are ante morteminjuries?
Both limbs extended
obtique, reddish brown scab'4 Lacerated wound of size 1'cm
aspect of dorsum of right footX 0.5 cm X muscle deep present over latet
transverse underlying margins irregular;
1'Contusionofsizel0x6cmpresentover|eftparieto.occipitalregionofirregular, bluish.Co,itureO abrasion of size 8 x 4 cm present over supero-posterior aspect o{
shoulder . transversely oblique, reddish brown- scab' :
Abrasionofsizelxlcmpresentover|eftmedialma||eo|us,transverse
None
illrrl
Yes . Antemortem
of scalp
ect of rigi
ansversei
;
rver lateriar',
"ZO.
Examination-
:iluries und-er the scalp,
ieir nature.
Sku/l Vault and base-describe the fractures,their sites, dimen-sions, directions, etc.
Brain - The appearanceof ,its coverings, size,weight and generalcondition of the organitself and anyabnormality found in itsexamination to becarefully noted ( weightM. 3 grams F. 2.75grams).
Thorax-
(a) Walls, ribs, cartilages
(b) Pleura
(c) Larynx, Trachea andBronchi.
(d) Right Lung
(e) Left Lung
(f) Pericardium
(g) Heart with weight
(h) Large vessels
PM No VPB/36/2018 Dated 07/01/2018
Underscalp haematoma present over both parieto{emporo-occipital region,reddish brown in colour.
1) Linear displaced fracture of skull over left temporo-occipital region of skull, 12cm in length, margins irregular & blood infiltration.,2) Linear displaced fracture of skull over right temporo-occipital region of skull,1Ocm in length, margins irregular & blood infiltration.
Meninges - lntact Subdural haematoma present over both parieto{emporal lobe ,
about 100 cc , blood and blood clots present , reddish brown in colour;Subarchanoid haemorrhage preserlt as a thin film of blood both cerebralhemispheres.. Brain-l ntact, edematous
lntact
Intact No free fluid
lntact
Both lungs, edematous. E/o Bilateral lower lobe consolidation
lntact
Intact Coronaries and valve patent
lntact
(i) Additionalremarks. Nil
21. Abdomen-
Vi/alls
Peritoneum
Ca'rity
Buccal CavitY, teeth,tongue and Pharynx.
-
OesoPhagus
Stomach and its contents
Small intestine and itscontents.
Large intestine and itscontents.
Intact.
lntact
No free fluid.
lntact.
Intact
contains 100m1 pale yellowish fluid, mucosa-normal' no abnormal smell
Gases and faeces Present
Gases and faeces Present
Intact
lntact
lntact
lntact
Intact, emptY
lntact.
Routine viscera not Preserved
Liver (with weight) and gallbladder.
Pancreas and SuPrarenals
Spleen with weight
Kidneys with weight
Bladder
Organs of generations
Additional remarks withwhere possible, medicalofficer's deduction from thestate of the contents of thestomach as to time of deathand last meal.
State which viscera (if anY)have been retained forchemical examiitation andalso quote the numbers .on
the bottles containing thesame.
Nil
znd SPinal Cord-
er the ante-mortem injuriesfound on the dead body weresufficient in the ordinary courseof nature to cause death.
lf yes, which of the injuries wereindividually sufficient in theordinary coursb of nature to causedeath.
Which of the injuries collectively aresufficient in the ordinary course of
Fracture dislocation of C4-C5 vertebra with e/o contusion over surroundingparaspinal muscle.Contusion present over C4-C5 segment of spinal cord.
Yes
- Injury no.1 under column no.17 & internal damage mentioned undercolumn no.19 & 22
HEAD INJURY WITH INJURY TO CERVICAL SPINE
.4
(b)
(c)
nature to cause death.
Opinion as to the causeprobable cause of death.
07 t01t2018
Dated
tsnI
9tsorgcrvFSFralerao,
-:""sn$Jl;'"f"?f ffi l"u'wF' !"--- (Signature)
-The Spinal Cord need not be examined unless there are any indications of disease, Strychnine poisoning orinjury
Note - The report must be written and srgned immediately after the examination. Medical Officers will at oncedespatch a duplicate copy to the Civil Surgeon of their district for record in his office.
FNo.yP*ql9q/_?-q-1p
07 t01t2018
Place civil Hospital
ForwardeC to the Police Sub-lnspector
for information with reference to his No.
Gcvernrnent Medical College and Hospital,Nagpur
Ajani. Nagpur PS
C.R. No.6/18 u/s 279, 338. 304(A) lPt-:
2. Viscera has been preserved. lt may please be stated immediately whether examination by the ChcmicalAnalyser is necessary or it is to be clestroycd.
Routine viscera not preserved
DrtggtLflR€Relerao.
.3',,$;3,ii,t*u:"ffi11'-
Civil Surgeon or M.M.S. Officer
i
Copy forwarded with compliments to the Civil Surgeon , for information.
Seen and examined by the Civil Surgeon, on
Remarks of the Civil Surgeon,
NILSubmitted to concerned clerk LMJ office
M.M.S- Officer
,IIi{.t
",i, .:
$:']i: !.:t,.;l
Civil Surgeon