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Revised SOPs for Medico-legal Work Ehancing Standards and Accountability in Punjab.
REVISED UPDATED SOPS REGARDING MEDICOLEGAL WORK . Reference to the subject cited above , following Structured Operational Procedures ( SOPs ) are hereby revised and updated regarding medicolegal work in Punjab :
2 ) Consent
3 ) FIR , inquest report in case of Postmortem examination .
4 ) MLC & Death certificate as and when applicable in case of postmortem examination .
5 ) Complete bio - data of the victim including CNIC Number .
6 ) History regarding the details of the inciderice in the words of victim
7 ) Examination of clothes .
8 ) General Physical examination regarding orientation , Glasgow coma scale , Gait , Temperature pulse blood pressure & pupil examination .
9 ) Description of injuries in detail regarding the dimensions , configuration of injuries in reference with two prominent anatomical landmarks .
10 ) Investigations & expert opinion as & when required .
11 ) Probable duration of injury to be stated in accordance with examination findings
12 ) Nature of injury to be declared as per Qisas & Diyat Law stating it as either Jurh or its subtypes and not in the numeric inscriptions like 337-A-1 or 337-F-III etc.
13 ) Possibility of fabrication to be declared as either " YES " or " NO " with justification stated for every individual injury
14 ) The medicolegal certificate is to be duly signed & stamped with affixed stamp by name of the Initial-Medical Examiner .
15 ) All the injuries kept under observation in regards with expert opinion , radiology opinion , Dental Sisent . surgeon opinion and PFSA report to be declared within 21 days , without fail .
16 ) Any exceptional case which is to be kept under observation as per expert opinion of the specialist regarding the outcome of either temporary or permanent damage resultant to injury should be specifically stated in the medicolegal reporting
17 ) A provisional opinion as and when applicable must be formulated even if any reports are awaited.
18 ) If the case has been finalized and there is any sort of delay regarding receiving of MLC / postmortem report by the Police , the concerned M.O , W.M.O should dispatch the either report to the SHO of concerned police station vide registered post
19 ) In case of received dead no MLC is to be conducted and any suspicious death is to be reported to the police for postmortem examination if deemed necessary by police.
20 ) Dental opinion should duly be reported on prescribed Proforma and all the Dental Surgeons are bound to report the medicolegal dental opinion on the date of referral by IMLE positively .
21 ) Prescribed Proforma regarding expert opinion of any specialty is under process and are to be used for any opinion regarding radiology and any expert consultant .
22 ) Any uniform injured in any riot , MLC is to be conducted by IMLE .
23 ) Medicolegal examination in case of custodial death will be conducted by board ( DSMB ) .
24 ) In case of fights / riots where police is alleged party , medicolegal examination will be proceeded according to FIR .
25 ) " No injury certificate " is to be issued by IMLE in case of victim shifting to jail.
26 ) Chain of custody is to be documented thoroughly to check the reason for delay .
27 ) In case of incidence reported by victim or presented by concerned lawyer , the MLC and samples are to be handed over to concerned police only .
28 ) Unknown , unattended , unconscious individual's medicolegal certificate is mandatory .
29 ) Police docket , court orders and lady sub - inspector or any lady constable deputed by lady Sub Inspector should accompany the female victim of sexual assault for examination .
30 ) Viscera collected during postmortem examination for Histopathology & Toxicology are to be handed over to police immediately after conductance of postmortem examination as per PFSA guide lines .
31 ) In case of court orders and police docket any MLC is to be conducted immediately in true latter & spirit and not to be refused on any grounds .
32 ) In case of any ambiguity the IMLE should consult senior with medicolegal expert either DMLO / Head of Department of Forensic Medicine or any Forensic Medicine expert before conductance of MLC / postmortem examination .
33 ) No corrigendum is to be issued in case of any discrepancy in medicolegal reporting and as per Three Tier Structure the case should be challenged in DSMB .
34 ) In case of typographical error / clerical mistake a declaration stamp paper should be provided by the Doctor / IMLE regarding correction of mistake like for example if right is mentioned instead of left side .
35 ) No Adhoc Doctor is allowed to conduct medicolegal examination under any circumstances , SMO , SWMO are not exempt from medicolegal work and therefore , they should be incorporated in duty roster of medicolegal work .
36 ) Only experienced Senior MOS , SMOS with medicolegal experience should be marked for exhumation and no fresh inexperienced MO , WMO are to be involved in medicolegal work , prior to medicolegal training .
37 ) In case of delay of more than 12 hours in presentation for medicolegal examination the victim should submit a written explanation for delay before medicolegal examination .
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