MEDICAL
EXAMINATION OF ACCUSED
UNDER
SECTION 53 OF Cr.P.C.
District: Police
Station:
FIR No:-
Date:
1X.0X.201X
DETAILS OF ACCUSED:
1.
Name:
2.
Age:
3.
Sex:
4.
Time:
5.
Date of Examination:
6.
Name of Medical Practitioner:
GENERAL PHYSICAL EXAMINATION
1.
CLINICAL HISTORY:
2.
BLOOD PRESSURE:
3.
BLOOD TEST:
BLOOD GROUP:
INTAKE OF ALCOHOL:
SEMEN SAMPLE:
4.
INJURIES
ANY MENTAL INJURY:
ANY PHYSICAL
INJURY:
OVERALL CONDITION:
STATUS:
Sd/-
(_________)
MBBS, MD
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