DEATH CERTIFICATEDr. Jayaprakash K,, M.D. OJ @forensicjponline Professor of Forensic Medicine & Toxicology We aD 6 a) @forensicjp DEATH CERTIFICATE © State the disease, injury or complication which caused death * Not the mode of dying such as heart failure, asthenia, ete. * Morbid conditions, if any, giving rise to the above cause © i.e, The con en rise to immediate cause ® State the underlying conditions last * Contributing to the death * But not related to the disease or conditions causing itDr. Jayaprakash K., M.D. Professor of Forensic Medicine & Toxicology FORM NO. ‘Gee Rule) MEDICAL CERTIFICATE OF CALSE OF DEATH (or nowsittonal deaths Not be sed fr sil bits) @forensicjponline 6 a) @forensicjp [Oter sigan conditions cmt tothe death bit ot elated tothe case or condone cuusing Ifdeceased was a female, was reoaney the death associated wi) |'Yes 2.No Tobe sn Repu slong ih Fr Nr 2 (Dex Report) SS ae ry tec ey te ss! Sp cccngesamatite | a ga a Ata iin a of ath from aA and he/she died on me AMM. a ne Formocl (To be detached and handed over to the related of the deceased) ‘Statistical 1 Certified that ShrvSmu/Km ‘SAW/D of Shri RO "Ws ent oe ‘ad be sex [Aa Dea Jexpired on a AMPM ‘Aseis | Wiest | yarage Tema on] Wiss im one ‘Sept inet feat agen | dayne ows = i tine Deco Feeds Signature and adress of Medial Practitioner? See earn meta sia anda wih Region No covet dea 7 @ oe © The format of both Form No. 4 and Inmet come Since dots ery or Form No. 4A are same eompicaion wicca deh ot | ciara te mode of ying sch sean fit omequenes of * Form No. 4 is used in Institutional deaths eestet come w Mori concn, any, ving isto the above Came, stag wcerying Due to (or as a consequences of) © Form No. 4A is used in non-institutional deathsDr. Jayaprakash K., M.D. ©) deh 60 ic Sf I fi Professor of Forensic Medicine & Toxicclogy (Q) @forensicjpontine @forensicjp Specific requirements about death certificates: 1. If the doctor in attendance is convinced that death is due to any natural cause i. he FRUSEISSUBla death certificate ii, he €aninot eharge any fees for the same ili, he Gannotdelay it even if his own professional charges are not paid, and iv. the certificate must state the SRaCUeaUSelOneeatllike ‘coronary thrombosis’ instead of the vague term ‘heart failure’ 2. Before issuing a death certificate the following precautions must be taken: * The doctor must inspect the body to ffiakelsurelthat the person is Setuallyidead|and/or not in a state of suspended animation, and i, the cause of death is a natural oneDr. Jayaprakash K., M.0. ici 1 ici OQ) @forensicjponline @forensicjp Professor of Forensic Medicine & Toxicology Wish you all the best