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Kotalipara G.R.74/2022
Post mortem report
(PRB Form No-55, Rule 284 Note)
PM no.296/22
Date-20-06-22
Referance-Sonadanga model thana
GD no-1562
Date-20/06/22
The station : FM-KMC
Name, Sex, Age
and Tribe
Where is it
brought from?
Name of constable
brought by and
names of
accompanying
relatives
Date and
Time of
Dispatch
Day and
time of
bringing
the dead
body to
the
morgue
Exam date
and time
Informatio
n provided
by the
police
The
person
identified
before the
Medical
Officer
Md. Forid Sheikh
Age-40 years
Sex-Male
Religion-Islam
Dhorar
thana-Kotalipara
Zilla-Gopalgonj
Md. Babul Hossain
Cn.No-6323
20/06/22
11.15 hours
20/06/22
12.30
hours
20/06/22
13.00
hours
As per
inquest and
chalan
As per
column-3
Special Note: Note the condition of all organs and Write healthy if no signs of disease or injury are found
1-
External
signs
1. Condition of
the person -
strong, thin,
emaciated etc
2-Injuries-location, size and type 3-Injuries-location, size and type
4-Strip marks
obtained
during throat
dissection etc
Built-Average
RM-Appeared
Cyanosis-absent
Body was covered with blood.
1. A sharp cutting chop wound present under the arm fold in the medial side of right
arm extending from axilla measuring 8’’×3’’×2’’.
2. A chop wound present on the upper right arm above elbow joint measuring
6’’×2’’×1.5’’.
No other injury present.
2-Skulls
and
others
1-The outer covering of the head,
the bones of the skull and the spine
2-membrane 3-Brain and spinal cord (spinal tap
examination is not necessary if there is
indication of disease or injury)
Scalp-healthy
Skull-healthy
Vertebra-healthy
healthy pale
3-Chest
1-type cartilages
and cartilages
2-Lung cover 3-Imagination 4-Right
lung
5-Left lung 6- Cardiovascular 7-Heart 8-blood
vessels
healthy healthy pale pale pale pale & healthy pale &
healthy
healthy
2
4-Abdomen
1-Types 2-Upper
abdominal
membrane
3- Mouth, trachea
and esophagus
4- Stomach and its
contents
5-Khundrantra and
its contents
6-Colon and its
contents
healthy healthy pale Contain liquid
stomah juice
pale pale
7. Liver, 8. Spleen, 9. Bladder 10. Bladder 11.Reproductive organs, external and
internal
Pale Pale Pale Full All external & internal genital
organs were ealthy
1.
meat,
1. Injury 2. Disease or discoloration 3. Fracture, 4. Displaced
Mentioned
above
Not detected absent absent
6-
Detailed
description
of
disease
or
injury
On dissection-Injury NO-1 involve skin, sub cutaneous tissue and muscle,
axillary artery & other blood vessels, Injury NO-2 involve skin, sub cutaneous
tissue, muscle & blood vessels. All injuries were ante mortem. Both heart were
healthy. Above mentioned organ were pale. no other injury was found.
N.B-Death certificate of KMCH, Name-Md. Forid sheikh, age-40 years, cause
of death was brought dead (physical assault).
Medical Officer's opinion as to the cause of death
Special Note: In the case of injuries, write whether
the injuries indicate murder, suicide or other.
Opinion of the Civil Surgeon
Considering post mortem examination findings, I am of the opinion that the
cause of death was due to Haemorrhage and shock as a result of above
mentioned injuries which were ante mortem and homicidal in nature.
SI/ASI- Take action Mikail Hossain
Signed/-
19-10-2022
Officer in charge
Sonadanga Model Police Station
KMP, Khulna.
I saw
Signed/-
Anushree Roy
Senior Judicial Magistrate (officiating)
Administrative Court, Kotalipara Police Station
Gopalganj.
Signed/-
13-09-2022
Dr. Fahmida Shabnam
MBBS, BCS (Health)
Assistant Surgeon
Khulna Medical College, Khulna.

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PM (302..).docx

  • 1. 1 Kotalipara G.R.74/2022 Post mortem report (PRB Form No-55, Rule 284 Note) PM no.296/22 Date-20-06-22 Referance-Sonadanga model thana GD no-1562 Date-20/06/22 The station : FM-KMC Name, Sex, Age and Tribe Where is it brought from? Name of constable brought by and names of accompanying relatives Date and Time of Dispatch Day and time of bringing the dead body to the morgue Exam date and time Informatio n provided by the police The person identified before the Medical Officer Md. Forid Sheikh Age-40 years Sex-Male Religion-Islam Dhorar thana-Kotalipara Zilla-Gopalgonj Md. Babul Hossain Cn.No-6323 20/06/22 11.15 hours 20/06/22 12.30 hours 20/06/22 13.00 hours As per inquest and chalan As per column-3 Special Note: Note the condition of all organs and Write healthy if no signs of disease or injury are found 1- External signs 1. Condition of the person - strong, thin, emaciated etc 2-Injuries-location, size and type 3-Injuries-location, size and type 4-Strip marks obtained during throat dissection etc Built-Average RM-Appeared Cyanosis-absent Body was covered with blood. 1. A sharp cutting chop wound present under the arm fold in the medial side of right arm extending from axilla measuring 8’’×3’’×2’’. 2. A chop wound present on the upper right arm above elbow joint measuring 6’’×2’’×1.5’’. No other injury present. 2-Skulls and others 1-The outer covering of the head, the bones of the skull and the spine 2-membrane 3-Brain and spinal cord (spinal tap examination is not necessary if there is indication of disease or injury) Scalp-healthy Skull-healthy Vertebra-healthy healthy pale 3-Chest 1-type cartilages and cartilages 2-Lung cover 3-Imagination 4-Right lung 5-Left lung 6- Cardiovascular 7-Heart 8-blood vessels healthy healthy pale pale pale pale & healthy pale & healthy healthy
  • 2. 2 4-Abdomen 1-Types 2-Upper abdominal membrane 3- Mouth, trachea and esophagus 4- Stomach and its contents 5-Khundrantra and its contents 6-Colon and its contents healthy healthy pale Contain liquid stomah juice pale pale 7. Liver, 8. Spleen, 9. Bladder 10. Bladder 11.Reproductive organs, external and internal Pale Pale Pale Full All external & internal genital organs were ealthy 1. meat, 1. Injury 2. Disease or discoloration 3. Fracture, 4. Displaced Mentioned above Not detected absent absent 6- Detailed description of disease or injury On dissection-Injury NO-1 involve skin, sub cutaneous tissue and muscle, axillary artery & other blood vessels, Injury NO-2 involve skin, sub cutaneous tissue, muscle & blood vessels. All injuries were ante mortem. Both heart were healthy. Above mentioned organ were pale. no other injury was found. N.B-Death certificate of KMCH, Name-Md. Forid sheikh, age-40 years, cause of death was brought dead (physical assault). Medical Officer's opinion as to the cause of death Special Note: In the case of injuries, write whether the injuries indicate murder, suicide or other. Opinion of the Civil Surgeon Considering post mortem examination findings, I am of the opinion that the cause of death was due to Haemorrhage and shock as a result of above mentioned injuries which were ante mortem and homicidal in nature. SI/ASI- Take action Mikail Hossain Signed/- 19-10-2022 Officer in charge Sonadanga Model Police Station KMP, Khulna. I saw Signed/- Anushree Roy Senior Judicial Magistrate (officiating) Administrative Court, Kotalipara Police Station Gopalganj. Signed/- 13-09-2022 Dr. Fahmida Shabnam MBBS, BCS (Health) Assistant Surgeon Khulna Medical College, Khulna.