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Postmortem Proforma-1

The document is a postmortem certificate from the Department of Forensic Medicine at Government Medical College, Kadapa. It includes sections for general observations, injuries, and detailed examinations of various body parts, along with preserved specimens for chemical analysis. The certificate concludes with an opinion on the cause of death, pending further reports.

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7 views4 pages

Postmortem Proforma-1

The document is a postmortem certificate from the Department of Forensic Medicine at Government Medical College, Kadapa. It includes sections for general observations, injuries, and detailed examinations of various body parts, along with preserved specimens for chemical analysis. The certificate concludes with an opinion on the cause of death, pending further reports.

Uploaded by

ritwickshankar345
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

DEPARTMENT OF FORENSIC MEDICINE

GOVERNMENT MEDICAL COLLEGE, KADAPA-516002. A.P


POSTMORTEM CERTIFICATE

P.M. No. : Date:


Body Brought & Identified by :
Body sent by :
Crime No. & Police Station :
Date and Hours of receipt of requisition: at
Date and hour of Autopsy : at

SCHEDULE OF OBSERVATIONS
A – GENERAL
1. Name :
2. Sex :
3. Age : years
4. Height : cms
5. Physique :
6. Nutrition :
7. Special Identifying features :
a.
b.
8. External appearances :

9. Postmortem Changes :

10. Injuries :
PM No:
Dt:
Antemortem external and internal injuries:

B – HEAD AND NECK


11. Scalp :

2
PM No:
Dt:
12. Skull :
13. Brain, meninges, and cerebral
vessels :
14. Orbital, nasal, and aural cavities :
15. Mouth, Tongue and Pharynx :
16. Neck, larynx, thyroid & other neck
Structures :

C – CHEST
17. Ribs and Chest wall :
18. Diaphragm :.
19. Mediastinum and thymus :
20. Esophagus :
21. Trachea and Bronchi :
22. Pleural Cavities Right :
Left :
23. Lungs Right :
Left :
24. Heart and Pericardial sac :
25. Large blood vessel :

D - ABDOMEN
26. Abdominal wall :
27. Peritoneal Cavity :
28. Stomach and its contents :
29. Small Intestine :
30. Large Intestine :
31. Liver, Gall bladder and biliary
passages :
32. Pancreas :
33. Spleen :
34. Kidneys Right :
Left :
35. Adrenals :
36. Pelvic Walls :
37. Genital Organs :
38. Bladder :

E –SPINE
39. Spinal Column and Spinal Cord :

F – ADDITIONAL OBSERVATIONS
3
PM No:
Dt:
Nil

G –TISSUES PRESERVED FOR FURTHER EXAMINATIONS


Nil

H. SPECIMENS PRESERVED FOR CHEMICAL ANALYSIS

[Link] Specimen preserved [Link] Preservative added

1. Stomach & its contents, 1 Saturated solution of NaCl.

Small intestine & its contents

2. Liver tissue & Kidney tissue 2 Saturated solution of NaCl.

3. Blood 3

Preservative Saturated solution of NaCl.

Postmortem concluded at : on

OPINION AS TO THE CAUSE OF DEATH

1. The approximate time of death :


2. Reserved pending report :
3. The cause of death to the best of
my knowledge and belief :

GOVERNMENT MEDICAL COLLEGE, Signature


KADAPA.

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