PM No- , dt-, ADR No- of PS, Solapur. CM-67e.
Memorandum of a post-mortem examination held at Mortuary of Dr. V.M. Government Medical
College, Solapur
CJPN (O-127)-9-2008-5,00,000 Bks./4 lvs,--PA4*
G. R. , G. D., No. 733/33, dated 16-6-41 and
G. R., H. And L. G. D., No. 733/33, dated 11-12-47
Vide Surgeon General with the Govt. Of Maharashtra, Bombay’s
Letter No. FRM/1462/19357/1, dated 4-7-62.
On the dead body of–
Resident of– At post
Dr. SHESHAN KAMBLE
Autopsy surgeon
Department of Forensic Medicine
And Toxicology
Dr. V. M. GMC Solapur
I. General Particulars—
1. (a) By whom was the corpse sent? HC, B. No:, P.S. Solapur
(b) Name of place from which Hospital, Solapur.
sent.
(c) Distance of place from which
sent
2. By whom was the corpse PC, B. No:, P.S. Solapur
brought?
3. By whom identified? and Police on Duty
4. The date, hour and minute of its
receipt.
a) The date, hour and
minute of beginning of
post-mortem exami-
nation.
b) The date, hour and
minute of ending of post-
mortem examination.
5. Substance of accompanying As per police inquest, requisition and clinical papers,
Report from Police Officer or date of death is on. Supposed cause of death is as per
Magistrate, together with the police inquest.
date of death if known.
Supposed cause of death or
reason for examination
6. If not examined at Dispensary or Hospital—
(a) Name of place where
examined.
(b) Distance from Not applicable
Dispensary or Hospital
(c) Reason why the body
was not sent to the
Dispensary or Hospital.
II. External Examination-
7. Sex, apparent age, race or caste. years old male
Description of clothes and of No clothes.
ornaments on the body. No ornaments.
8. Condition of the clothes-Whether
wet with water, stained with blood NOT APPLICABLE
or soiled with vomit or faecal
matter.
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PM No- , dt-, ADR No- of PS, Solapur. CM-67e.
9. Special marks on the skin such as BODY IDENTIFIED ONE.
scars, tattooing etc., any
malformations peculiarities, or
other marks of identification. State
of the teeth.
In newly born infants, the length
and (if possible), the weight of the
body to be recorded together with
the state of the hair, nails and
umbilical cord, its length, whether
placenta is attached or not if
present, its size and condition.
10. Condition of body— Averagely built and nourished.
Whether well-nourished, thin or Cold body
emaciated, warm or cold.
11. Rigor Mortis —Well-marked, slight Well marked and present in whole body.
or absent; whether present in the
whole body or part only.
12. Extent and signs of decomposition: No signs of decomposition.
presence postmortem lividity of Postmortem lividity present on back and buttocks
buttocks, loins, back and thighs or except on pressure points and it is fixed.
any other part. Whether bullae
present and the nature of their
contained fluid.
Condition of the cuticle.
13. Features— Features-Natural, Eyes-closed.
Whether natural or swollen, State Mouth- Closed.
of eyes, Position of tongue, Nature Tongue- Intact, inside mouth
of fluid (if any) oozing from mouth, No oozing from mouth, ear and nostrils.
nostrils or ears
14. Condition of skin— Marks of blood Superficial to deep thermal burn present over body at
etc. In suspected drowning the
places.
presence or absence of cutes
anserine to be noted.
15. Injuries to external genitals. Burn injury present over external genitals.
Indication of purging. No purging.
16. Position of limbs— Upper limbs straight.
Especially of arms and of fingers in Lower limbs straight.
suspected drowning the presence
or absence of sand or earth within
the nails or on the skin of hands
and feet.
17. Surface wounds and injuries— Their nature position, dimensions (measured) and directions to
be accurately stated- their probable age and causes to be noted.
If bruises be present what is the condition of the subcutaneous tissues?
(N.B.—(When injuries are numerous and cannot be mentioned within the space available they
should be mentioned on A separate paper which should be signed)
1-Therapeutic injection marks present over dorsum of both hands.
2-Infected superficial to deep dermo-epidermal burn injuries present over body at places. Areas
of burns show peeling of skin with reddish discolouration at places.The peripheral areas of
burns are healed with granulation tissue at places and depigmented patches at places. The
distribution of burnt area is as follows-
Parts of the body Percentage of Spared area.
area burnt
i. Head, Neck, Face 00% Complete area is spared
ii. Anterior trunk 05% Upper part is spared.
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PM No- , dt-, ADR No- of PS, Solapur. CM-67e.
iii. Posterior trunk 05 % Upper part is spared.
iv. Right Upper limb 01% Complete area is spared except
posterior aspect of right elbow
joint.
v. Left Upper limb 00% Complete area is spared.
vi. Right Lower limb 15% Posterior aspect of right lower
limb spared
vii. Left Lower Limb 18% None
vii. Perineum 1% None
viii. Total 45%
18. Other injuries discovered by None.
external examination or palpation
as fractures etc.
Can you say definitely that the Yes, ante-mortem in nature.
injuries shown against column no
17 and 18 are ante-mortem
injuries?
III. Internal Examination-
19. Head--
I)Injuries under the scalp, their Under scalp intact, no injuries.
nature.
Ii)Skull—Vault and base- Intact, no fractures.
Describe fractures, their sites,
dimensions, directions, etc.
Iii)Brain— The appearance of its Meninges-Intact
coverings, size, weight and Brain-wt 1400gm. Intact
general condition of the organ congested and oedematous.
itself and any found in its
examination to be carefully
noted (weight M1300 grams F-
1275 grams).
20. Thorax-
a. Walls, ribs, cartilages Refer column no 17.
b. Pleura 300 cc yellowish coloured free fluid present in both pleural
cavity.
c. Larynx, Trachea and No foreign body detected.
Bronchi Mucosa inflamed.
d. Right Lung Intact, Right lung wt-500 gm, on palpation-spongy in
consistency, on cut section –congestion of whole lung
present .
e. Left lung Intact, Left lung wt-420 gm, on palpation-spongy in
consistency, on cut section –congestion of whole lung
present .
Pericardium Intact and No abnormal collection
Heart with weight Wt-230 gm. Intact, on c/s-congested and contain blood
and blood clots.
Large vessels Intact
Additional remarks Nil.
21. Abdomen-
Walls Refer column no 17.
Peritoneum Intact.
Cavity Intact, no free fluid.
Buccal cavity, teeth, tongue and Intact, Mucosa congested
pharynx
Oesophagus Intact, Mucosa congested
Stomach and its contents Intact and contains 20 cc black colour fluid material
present, no peculiar smell perceived, mucosa congested.
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PM No- , dt-, ADR No- of PS, Solapur. CM-67e.
Small intestine and its contents Intact, partially distended with gases.
Large intestine and its contents Intact, Partly distended with gases and partly loaded with
feces
Liver(with weight) and gall Wt-1450 gm. Intact on c/s- congested
bladder Gall bladder- Intact and partially distended with bile.
Pancreas and Suprarenals Intact and Congested
Spleen with weight Wt-175 gms. Intact & messy. Capsule easily stripped
away
Kidneys with weight Left kidney weight-160 gm and Right kidney-250 gm.
Intact and On c/s-both kidney congested.
Bladder Intact and Empty
Organs of generation Uterus intact and empty.
Additional remarks with where Nil
possible, medical officer’s
deduction from the state of the
contents of the stomach as to
time of death and last meal.
State which viscera (if any) have Viscera not preserved.
been retained for chemical
examination and also quote the
numbers on the bottles
containing the same.
22. Spine and Spinal cord- Intact, not opened
23. a) Whether the ante-mortem Yes
injuries found on the dead body
were sufficient in the ordinary
course of nature to cause death.
b)If yes, which of the injuries Injuries mentioned in column no 17.
were individually sufficient in the
ordinary course of nature to
cause death.
c)Which of the injuries
collectively are sufficient in the
ordinary course of nature to
cause death.
Opinion as to the cause of death:-
“SEPTICEMIA IN A CASE OF BURN INJURY”
(Unnatural)
Dr. SHESHAN KAMBLE
Autopsy surgeon
Department of Forensic Medicine
And Toxicology
Dr. V. M. GMC Solapur
Dated-0//20
*The Spinal Cord need not be examined unless there are any indications of disease, Strychnine poisoning
or injury.
Note—the report must be written and signed immediately after the examination.
Great care should be taken not to cut the viscera before they have been inspected in situ.
PM No- /20, dt- 0/1/20, forwarded to PS, Solapur. CM-67e.
Copy forwarded to –Professor and Head, Department of Forensic Medicine, Dr. V.M. Govt. Medical
College, Solapur, Countersignature and Remarks if any
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