GOVERNMENT OF MEGHALAYA

HEALTH & FAMILY WELFARE DEPARTMENT

POSTMORTEM REPORT

P.M. No:_________________________________ Date: _____________________________

Ref: __________________________________________________________________________
1. DETAILS OF THE DECEASED/ CASE:
(a) (Name: (L)_____________________________________________________________________
(b) S/o/D/o/W/o:_________________________________________________________________
(c) Age: ________ (d) Sex: _________(e) Address:_____________________________________
______________________________________________________________________________
______________________________________________________________________________
(f) Brought by:
(i) Police: ______________________________________________________________________
(ii) Others: a) ___________________________________________________________________
b)____________________________________________________________________
(g) Identified by
(i) Police: ______________________________________________________________________
(ii) Others: a) ___________________________________________________________________
b)____________________________________________________________________
(h) Date & Time of receipt of dead body and papers: _______________________________________
(i) Date and Time of commencement of [Link]: __________________________________
(j) Date and Time of completion of [Link]: _____________________________________
(k) Place of Examination: ____________________________________________________________
2. RELEVANT INFORMATION AS FURNISHED BY POLICE:

3. EXTERNAL EXAMINATION:
(a) Length: ______________(b) Weight: ______________ (c) Physique: ________________
(d) Nutrition: _______________________________________________________________
(f) Identification marks: _______________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
 (g) Wearing apparels: ________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

(h) Postmortem changes and other appearances of the body: _________________________________

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
(i) External injuries:

4. INTERNAL EXAMINATION:
A. HEAD, NECK AND SPINAL COLUMN:
(a) Scalp: ______________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
(b) Skull: ______________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
(c) Meninges and Vessels: _________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
(d) Brain: ______________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
(e) Vertebrae and Spinal Cord (To be opened where indicated): ____________________________
___________________________________________________________________________
(f) Orbital, Aural and Nasal Cavities: _________________________________________________
(g) Mouth, Tongue, Pharynx, Larynx and other neck structures: ____________________________
___________________________________________________________________________
___________________________________________________________________________
(h) Any Other: __________________________________________________________________
B. THORAX:
(a) Walls, Ribs and Cartilage: _______________________________________________________
___________________________________________________________________________
___________________________________________________________________________
(b) Oesophagus: _________________________________________________________________
(c) Trachea and Bronchi: __________________________________________________________
(d) Pleurae and Cavities: ___________________________________________________________
___________________________________________________________________________
(e) Right Lung: __________________________________________________________________
___________________________________________________________________________
(f) Left Lung: ___________________________________________________________________
___________________________________________________________________________
(g) Pericardium and pericardial cavity: ________________________________________________
(h) Heart: ______________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
(i) Large Vessels: ________________________________________________________________
(j) Diaphragm: __________________________________________________________________
(k) Any other: __________________________________________________________________
C. ABDOMEN and PELVIC REGION
(a) Wall: _______________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
(b) Peritoneum and its cavity: _______________________________________________________
___________________________________________________________________________
(c) Stomach and its contents: _______________________________________________________
___________________________________________________________________________
(d) Small Intestine and its contents: __________________________________________________
___________________________________________________________________________
(e) Large Intestine and its contents: __________________________________________________
___________________________________________________________________________
(f) Liver and Gall Bladder: _________________________________________________________
___________________________________________________________________________
(g) Pancreas: ___________________________________________________________________
___________________________________________________________________________
(h) Spleen: _____________________________________________________________________
___________________________________________________________________________
(i) Right Kidney and Ureter: _______________________________________________________
___________________________________________________________________________
 (j) Left Kidney and Ureter: ________________________________________________________
___________________________________________________________________________
(k) Urinary Bladder and Urethra: ____________________________________________________
(l) Organs of Generation: _________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
(m) Any Other: __________________________________________________________________
___________________________________________________________________________
D. BONES AND JOINTS: __________________________________________________________
_______________________________________________________________________________
_____________________________________________________________________________
5. SPECIMENS/ITEMS PRESERVED AND HANDED OVER TO INVESTIGATING
OFFICER:

(a) Stomach and its contents (b) Small intestine and its contents (about 30 cm.)
(c) Liver with GB (about 500 gms) (d) Spleen.
(e) Kidneys (half of each) (f) Sample of blood.
(g) Sample of urine. (h) Sample of hair.
(i) Preservation used: Saturated solution of Sodium Chloride/Rectified Spirit.
(j) Any other: ________________________________________________________________
___________________________________________________________________________
(k) Dead body:
6. SPECIMENS SENT FOR HISTOPATHOLOGY:
(a) Brain (b) Heart (c) Lungs (d) Liver (e) Spleen (f) Stomach (g) Intestine (h) Kidney (i) Uterus (j) Ovaries
(k) Any other: ______________________________________________________________________
(l) Preservative used: _________________________________________________________________

7. OPINION OF THE MEDICAL OFFICER AS TO THE CAUSE OF DEATH:

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
(a) Time since death: _______________________________________________________
(b) Whether Injuries were antemortem or postmortem: _____________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
 (c) Cause of injuries: ________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
(d) Age of injuries (time between infliction and death): ______________________________
______________________________________________________________________
______________________________________________________________________

Place: Signature of M.O:

Date: Full Name:
(BLOCK LETTERS)
Designation:
Office Seal:

8. REMARKS BY THE HEAD OF DEPARTMENT/OFFICE:

Place: Signature:
Date: Full Name:
Seal:
SUBSEQUENT OPINION (IF ANY):