1
GOVERNMENT OF KARNATAKA.
KARNATAKA INSTITUTE OF MEDICAL SCIENCES, HUBLI.
DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY
PM. No. /2022.
Post Mortem Report Date.
Name S| A | Caste | Whence brought Village, | Despatch |
cea 8 tannah Date and hour of | |
x le Ei |
Receipt_| Examination | ony
vo- |
| UDR. No. to — |
| US:
|e |
(Dead body kept in cold storage prior to postmortem examination.)
Treated at 5 TP-No: ;D.O.A: aie
DOE oat.
[1 EXTERNAL APPEARANCE
Condition of Subject stout Wound: size, | Bruises, position, | Mark of ligature on
‘emaciated, decomposed, ete. __| character size, nature neck, dissection etc.
[Il] CRANIUM AND SPINAL CANAL.
‘Skull and Vertebrac Membranes Brain & Spinal cord
‘Sealp: Brain-
Skull:
Vertebrae:
‘Note: The spinal eanal need not be examined unless an indication of disease or injury exists2
. {II} rHORAX ns
Walls, ribs | Pleurne Larynx & | Right MFeftlung Pericardium, heart,
trae! sels
Risa
cartilages:
[IV] ABDOMEN s
Peritoneum | Mouih Stomach and its ‘Small /Targe Giver] Spleen |
pharynx and | contents intestine and its |
esuphugus: contents |
ns J} ebealiapeeica -- =
| | |
|
Mucosa- | |
: _{V| GENITO URINARY ORGANS Bi ;
Kidneys Bladder ‘Organs of generation, external & Internal
[VI] MUSCLES BONES AND JOINTS
Injury Disease deformity Fracture
Dislocation
HI
‘More detailed description of injury of disease
‘Opinion as to cause of death
Date: