FORM C9MP AAee Ruls 2 53 (c),254 (c) (iii),25 4 (8),2 ss Q) (iv) A

T ABOUT THE MOTAR VEHCLES ACEIDEN

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(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):

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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

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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 );

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(J) Phone number (qNrs d.)1"oo;1"

1f<6a €.): 91-7387893293

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11.Inquest Report / U.D. case No., if any (Tig €{}fi ffiJ I q'sl's5qq ri., qR E't{ d t:

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13. Action taken: Since the above information reveals commission of offence(s) u/s as mentioned at ltern No. 2..

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@15. Date and time of dispatch to the court tercrd-d d ns"I A k{iF

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Signature.of Officer in charge, Police stationlerr{r rqIq A 6Krs{)

Name (:nri):Shailesh Sunil Sankhe

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Ho.(€.1: PoBN8740L

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Description of physicalevidence from the scene of crime for the property recoveredrseized for the purpose oi

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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.

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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

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Civil Surgeon