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
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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
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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.
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Date
OUTLINES OF THE HUMAN BODY
(SCHEMATIC, NOT TO SCALE)
Left Right
Front Back
Right Left Left Right
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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:
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