AUTOPSY REPORT

Decedent : ________________________________________________ SEX ________ AGE

_____
Home Address: _________________________________________ OCCUPATION _____________
Type of Death : Violent Casualty Suicide Sudden death despite being
healthy
Others, please specify: _______

Description of Body : Clothed

Unclothed

Partly Clothed

Weight : ______________ Height: ________________ Date and Time : ______________

Rigor: Yes No

MARKS AND WOUNDS :

PROBABLE CAUSE OF
DEATH

MANNER OF DEATH

Accident
Suicide
Natural
Murder
Unknown

DISPOSITION OF THE
CASE
Autopsy Requested?
Yes
No

I hereby declared that after receiving notice of death described herein I took charge
of the body and that the information is true to the best of my knowledge and belief.

Date
Medical Examiner

Place of Investigation

Signature of