This injury report details the examination of an 18-year-old female involved in a road traffic accident on April 17, 2022. The report outlines her injuries, which include multiple abrasions, contusions, and a comminuted fracture of the right leg, along with general vitals and treatment provided at the College of Medical Sciences. It concludes with recommendations for follow-up and further investigations.

1. FORENSIC MEDICINE –INJURY REPORT
BY
ANANTH NARAYAN
PRASHAKA MATHUR
NABEEN MAHATO

2. INJURY EXAMINATION REPORT(IT IS USED IN CASE OF EXAMINATION OF DETAINEE
ALSO)
• 1. Case Registration No. CMS/2022/1
• :2. Name of the Office referred for injury examination:CMS
• 3. Name, Age⁄ Date of birth and Sex of the injured person: Mrs. X, 18yrs & Female
• 4. Address: Bharatpur 10, Chitwan
• 5. Name of the accompanying Police Personnel: Mr. GURUNG
• 6. Name of the Hospital/Health Centre:- College of Medical Science
• 7. Date, time and place of examination:-17th
April,2022 & Emergency Department
• 8. Identification mark of the examinee :- • Black mole on thel left side of forehead 3 cms from the mid
line
• 4cm from top of the head
• 9 Consent for examination taken from: PATIENT
• 10. Brief history about the incident: - Road Traffic Accident
• 11. Medical history of the examinee:- Not known

3. 12. General Physique and vitals :-
Height: 5’7”
Weight: 52kg
Pulse: 112/min
B.P: 115/78
Temperature: 99 degree F
Respiratory Rate: 35/min
Degree of Consciousness: Decrease level of consciousness
13. Injuries: - Mention type, size, site, location and color(Please use additional page(s) if required)i.
………………………………………….ii. …………………………………………….iii. …………………………………………………
A. Type of injury : multiple abrasions , contusion and fracture
B. Type of weapon/object used:blunt force injury
C. Condition of the patient at the time of examination: - Conscious
D. Severity (Explain the severity in terms of existing condition and possible complication):-
E. Investigation and reports :- X -RAY , Blood test , MRI
F. reatment provided:-ANTIBIOTICS , calicium suppliments
G. Referral (Where and Why?):
H. Follow up (if necessary) -
I. Re-Examination(Whether case needs information about grade of disability):
J. Opinion:

4. Signature:-Nkm
Date:-2022-04-19
Name of the Examiner:- Mr ..
Hospital:-COMS
Qualification:- Mbbs
Seal of Hospital:-
NMC Reg. No. : DrKeschev……………………… Report dispatch date: 2022..

5. COLOUR:
Reddish brown
LOCATION : Lateral side of the
elbow
Type of Injury: Abrasions
MULTIPLE ABRASIONS ARE
PRESENT
ranging from 2mm * 1mm utpo
1cm *1cm

6. COLOUR: PALE RED
SIZE: 1.5×1.5 cm
LOCATION: At Left elbow
Type of injury : contusion Single
contusion is present

7. TYPE OF INJURY :
FRACTURE
LOCATION -On the right leg
15cm below the knee

8. Location :-
SHAFT OF TIBIA
X-ray:-
left side X-ray :- AP View
Right side X-ray :-Lateral
view
TYPE OF FRACTURE :-
COMMINUTED FRACTURE

9. Thank
you