FORMAT FOR EXAMINATION OF DISMEMBERED BODY PARTS OR SKELETAL

REMAINS

To:

The Police Sub-Inspector,

…………..Police Station.

Sub: Examination on the Skeletal remains/Dismembered body parts-reg.

Ref: ……….P.S., Cr. No……..u/s…………

With reference to above, received a sealed article/container on ………..(date) with a

covering letter from Police Sub-Inspector of……………..P.S. The article was examined
on………….(date) at am/pm at…………..(place), the details of which were given below:

1. Whether it is bone/not:
2. Number of bones/dismembered body parts:
3. Physical state of bones/dismembered body:
4. Belongs to human/animal:
5. Morphological examination:
a) Race:
b) Sex:
c) Age:
d) Status:
6. Belongs to one or more individuals:
7. Injuries/manners of separation:
8. Cause of death:
9. Time since death:
Opinion:

Place: Signature of Doctor

Date: Name
Designation
 FORMAT FOR PRESERVING EVIDENTARY MATERIALS POISONING CASES

To: The Deputy Director,

Regional forensic Science Laboratory.

P.M. No:

Name of the deceased:

Sex:
Age:

Crime/UDR No:
Police Station:

Sir/Madam,
I am herewith sending the following evidentiary materials collected from the above mentioned
case for the purpose of analysis.

Bottle-1: Stomach and contents+30 cm of proximal small intestine with contests.

Bottle-2: Liver(500 gm) with gall bladder + half of each kidney.
Bottle-3:Blood 10-20
ml.Bottle-4:Urine30-50 ml.
Bottle-5: Sample preservative 50 ml.

Place: Signature of
Doctor
Date: Name:
Designation

 In children, entire both kidneys should be preserved.

 Preservatives commonly used:
Bottle 1,2 & 5: Saturated solution of sodium chloride.
Bottle 3: For 10 ml blood, 100 mg Sodium Fluoride (prevents glycolysis;
inhibits enzyme enolase and bacterial growth)+ 30 mg potassium
oxalate(anticoagulant).
Bottle 4: Few crystals of thymol/ 1 ml conc. HCL.
 LABELS FOR EVIDENTIARY MATERIALS IN POISONING CASES

Name of Hospital: Name of Hospital:

Bottle 1. Stomach & 30 cm of small intestine Bottle 2. Portion of liver [500 gm.] & half of both
& their contents. kidneys.
Name: Name:
Sex: Sex:
Age: Age:
PM No: Date: PM No: Date:
Doctors Signature & Seal Doctors Signature & Seal
Name of Hospital: Name of Hospital:
Bottle 3. Sample of blood [Sample preservative- Bottle 4. Sample of Urine.
sodium fluoride]. Name:
Name: Sex:
Sex: Age:
Age: PM No: Date:
PM No: Date: Doctors Signature & Seal
Doctors Signature & Seal
Name of Hospital:
Bottle 5. Sample preservative [Saturated solution
of sodium chloride].
Name:
Sex:
Age:
PM No: Date:
Doctors Signature & Seal
FORMAT FOR PRESERVING EVIDENTIARY MATERIALS FOR DNA ANALYSIS

To: The Director,

Forensic Science Laboratory.

PM/MLC No.:
Name of the deceased:
Sex:
Age:
Crime/UDR No.:
Police station:

Sir/Madam,

I am herewith sending the following evidentiary materials collected from the above mentioned
case for the purpose of analysis.

1.
2.
3.
4.
5.
Type of analysis requested:

Sample Seal Yours sincerely,

Place: Signature of Doctor

Date: Name
Designation