Professional Documents
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Consumer Complaint
Consumer Complaint
AT KOLKATA
AND
………………
………..COMPLAINANT
- VERSUS -
hospitals
(2)
RESPONDENTS/OPPOSITE PARTIES.
To
The Hon’ble President and His Companion Members of the State Consumer
respectfully
SWEWETH:
1. The complainant is the father of the deceased victim, namely late XXXX son
of XXXX resident of ABC who died on ………..at the age of 32 years due to
2. The respondent No. 1 is the ABC Hospital at Kolkata where the deceased
victim was admitted for medication and thereafter died due to negligence on the
part of the respondents. Respondents No. 2 and 3 are the doctors who treated
4. The complaint relates to the medical negligence on the part of the respondents
due to which the son of the complainant lost his life only at the age of 32 years.
This application is being made within 2 years from the date of cause of action.
5. The deceased victim consumed acid and sleeping pills at his home due to
certain tiff with his mother on ………at about 10 am and was admitted in SSS
Hospitals, initially.
there and was admitted under the Respondent No. 2 on ……………at about 5
p.m.
7. The deceased victim was admitted therein in a drowsy condition, but not in an
unstable condition. The condition of the deceased victim at the time of admission
8. That after being admitted therein, an interim bill was given by the respondent
authorities to the complainant to the tune of Rs. 120,794.57/- (Rupees One lakh
twenty thousand seven hundred and ninety four and fifty seven paise only) out of
which Rs. 85,000/- (Rupees eighty five thousand only) was paid by the
9. During the stay of the deceased victim at the Hospital numerous tests were
conducted by the respondent authorities for diagnosis of the deceased victim and
demanded lakhs of money, but all the reports of the tests were normal, except
10. Be it mentioned that the deceased victim was never treated nor given any
medication for the decrease in the haemoglobin level in the blood, which the
11. Thereafter, the deceased victim was discharged from the respondent
Hospital on ……………………at about 4.30 P.M. after treatment and care under
12. The complainant states that a sum of Rs. 1,27,194.61/- (Rupees One lakh
twenty seven thousand one hundred and ninety four and sixty one paise) was
charged by the respondent No.1 under various heads in the final bill for the
application.
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13. The deceased victim was discharged after payment and clearance of all the
14. The complainant states that due to mild stomach discomfort the deceased
victim was taken to the respondent No. 2 for medical checkup and under his
on……………...
15. Thereafter, various tests was again conducted by the respondent No. 1
under reference from the respondent No. 2 from …………..to ………….during the
stay at the hospital) until the death of the deceased victim on ………………..at
16. It may be mentioned that all the reports of the medical examination
conducted by the respondent No. 1 were normal, except that the haemoglobin
17. The respondent No. 2 failed and neglected to observe that the haemoglobin
level in the blood of the deceased victim was deterioting abnormally and failed to
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give any appropriate medication to the deceased victim accordingly, nor there
was any blood transfusion to the victim, which is negligent on the part of the
18. The deceased victim i.e. the son of the complainant met with an untimely
19. The complainant states that on ……………….when the tests were conducted
on the deceased victim most of the tests reports revealed abnormality, but one
day prior to that the reports were normal, therefore the negligence on the part of
20. Further, the death certificate issued by the respondent No. 1 did not state any
cause of death instead it was issued only with a remark “subject to Autopsy
Report”.
21. The complainant was informed by the Respondent authorities that the death
of the victim was caused due to heart failure, but the death of the victim was
inspite of charging of a hefty amount of Rs. 8,00,000/- (Rupees eight lakhs only)
Photocopy of all the money receipts are annexed hereto and marked as
“Annexure H”.
22. The complainant further submits that the respondent authorities failed to take
note that the haemoglobin level in the blood of the victim was decreasing
abnormally and accordingly the victim was to be treated for such deficiency, but
the respondent authorities did not take any steps to supply blood to the victim
the victim and also operated the victim, to extract the hard earned money of the
complainant.
23. Your complainant submits that the complainant’s son died due to the
negligent actions of the respondent authorities and the complainant had come to
the respondent authorities for medical care and treatment of his son instead the
authorities and having suffered huge mental and monetary loss and damages
amounting to Rs. 1,00,000,00/- (Rupees One Crore only) the complainant begs
following reliefs:
Rs…………………………….to the
amount;
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proceedings;
proper.
.
(10)
AFFIDAVIT:
Identified by me
Place :
Prepared in my office:
(11)
DISTRICT: KOLKATA
COMMISSION
…APPLICANT.
- VERSUS -
….RESPONDENTS.
ADVOCATE.
HIGH COURT, C A L C U T T A.
BAR ASSOCIATION, ROOM NO.
Office:-
Email:
Contact No.: