Post- mortem Examination Report

Post- mortem Examination on the body of a

R/O
Taluka

belonging to
Dist.

Month

Serial No/Monthly No.

A) Precise of the case

1.Date of admission
2.Date and time of death
3.Date and time of conducting post-mortem
4.History
a) Clinical
(i)Temperature
(ii)Pulse
(iii)Respiration
(iv)Condition of body coat
(v)Duration of illness
(vi)Symptoms seen
(vii)Smell of breath
(viii)History of spraying Poisons/Medicines
(ix)History of use of fertilizers
(x)whether symptoms developed immediately
afeter consumption of feed and water
(xi)Treatment given
Date of attendance

Symptoms

.
.

Treatment

b)Animal Husbandry Practices(i)Type of feeding with source

.
(ii)Grazing conditions and presence of poisonous plants if any
(iii)Watering with source of water
(iv)Housing .
c)Epidemiological Data
(i)Total no of affected cases
(ii)No.of deaths
(iii)N0.still affected
(iv)No.od cases examined
(v)Total Population of the village(Speciesewise)
(vi)Mortality percentage
(vii)Morbidity percentage
(ix)Whether animals having common source of feed and waterd)Vaccination status(R.P.,H.S.,B.Q.,Anthrax)
e)Date of testing against TB/Brucella and the status
f)Climatic conditions
(B)External Examination
1.Class of animal
Sex
2.Descriptive marks
colour3.Conditions of the body
4.Rigor mortis
5.Natural orifices
6.Visible mucus membrane
7.Superficial lymph nodes
8.Details of wounds if any
9.Any other abnormalities

Age

Breed

(C)Internal Examination
I. Subcutaneous tissue
II. Abdominal cavity
(1)Peritoneal cavity and Peritoneum
(2)Position of organs
(3)Any other abnormality
III.Thoracic cavity
(1)Pleural cavity and pleura
(2) Position of organs
(3)Any other abnormality
IV. Pericardial sac
V. Heart
(1)Gross appearance,
Colour
Size
(2)Chambers
(3)Valves
(4)Myocardium
(5)Blood vessels
VI. Larynx
(1)Abnormalities
(2)Parasites
VII. Trachea(1)Abnormalities
(2)Parasites
(3)Bronchial lymphnodes
VIII. Lungs(1) Gross appearance,
Colour
Size
(2)Palpable abnormalities
(3)Section
(4)Parasites
(5)Lymph nodes
IX. Diaphragm
X. Liver
(1) Gross appearance,
colour
Size
(2)Surface
(3)Borders
(4)Parenchyma
(5) Lymph nodes
(6)Gall bladder
(a)wall
(7)Parasites
XI. Spleen
(1) Gross appearance,
colour
Size
(2)Surface
(3)Section
Xii. Mouth
XIII. Tongue
.
XIV. Pharynx
(1)Associated lymph nodes and tonsils
XV. Oesophagus
Parasites
XVI.(a)Rumen

(b)Contents.

(b)Reticulum
(c)Omasum
(d)Abomasum
XVII. Intestines(1)Mesentry
(2)Wall(Serosa /Mucosa)
(i)Duodenum (i)Caecum
(3)Ileo caecal valve
(4)Contents
(5)Parasites
(6)Mesenteric lymph nodes

(ii)Ileum
(ii)Colon -

(iii)Jejunum (iii)Rectum -

XVIII. Kidneys
(1)Gross appearance, color, size
(2)Capsule
(3)Renal surface
(4)Section
(5)Renal pelvis

Right

Left

(6)Calculi
XIX. Ureters
XX. Urinary Bladder
XXI. Genitellia
XXII. Endocrine Glands
XXIII. Musculature
.
XXIV. Skeleton
XXV. Brain
(1)Meninges
(ii)Cerebrum
.
(iii)Cerebellum
(iv)Spinal cord
XXVI. Material collected for examination(i)Heart blood smears
(ii)Brain smears
(iii)Pus smears
(iv)Impression smears of organs ,Intestines, Lymph nodes etc.
XXVII. Materials collected for bacteriological/Parasitological/Virological/Toxicological for Histopathology exam.
XXVIII. Suspected cause of death XXIX. Special remarks
Place:
Date :
Signature and Designation
CERTIFICATE
Certified that the Post-mortem of above said animal has been carried out on date /
/ 20
and in my opinion the animal might have died due to
The carcass handed over / buried along with skin and all
body parts. The cost of the said animal shall be Rs./- as per prevalent market rates.
.
Place :
Date :
Signature and Designation

From :

To,
THE CHEMICAL ANALYSER TO GOVERNMENT
OF MAHARASHTRA, REG. FORENSIC LAB. NAGPUR
DATED
Description of viscera forwarded for examination:

Mode of Packing :
Box No.

Copt of the label attached to bottle

Bottle No.

Weight of Parcel
Impression of Seal

Mode of Dispatch

Date of
Dispatch

Date of
Receipt
in Chemical
Analyzers
Office

Information Furnished by Police or prcis of case :

Name:
Thana or Village:
Story of the Case:

Sex:

Age :

Date & Hour of Dispatch of

Body

Date & Hour of autopsy

Name of officer by whom

examination was actually
made

Date Of Receipt
Appearance of body
Muscularity:
Special Marks:

Stout:

Scars:
Signs of decomposition:

Emaciated:

Tattooing

Amount of hairs etc.

(b) Character :

(c) Size :

Wounds & bruises:(a) Position :

State of Natural Orifices:Nostrils: -

Mouth: -

Anus: State of limbs etc.

Rigor mortis: -

Urethra:-

Eyelids: -

Pupils: -

Position:-

Position of tongue: Thorax :Rids :

Cartilages :

Heart:
Clots ante or postmortem
Muscular structure
Clots
Aneurysm
Atheroma
Appearances
Color
Lungs:

Contents of Mouth:-

State of Teeth:-

Shape & appearance:

Cavities

Vessels:

Vagina:-

Consistence
Adhesions

Pleura :

Pericardium :

Larynx, Trachea & bronchi for foreign bodies of disease.

Abdomen:Peritoneum
Peritoneal cavity contents
Liver and gall bladder--- form and size, disease or injury
Pancreas disease or injury
Spleen disease or injury
Kidneys disease or injury
Size and general appearance
Stomach

Appearance of coats
Contents, appearance, odor & quantity

Intestine

Size and general appearance

Appearance of coats

General organs:Bladder and contents

Uterus appearance, size and contents
Vagina, contents

Head:Scalp
Bones disease or injury
Membranes
Brain substance & ventricles
Base of skull fractures, caries extravasations etc.
The spinal cord need not be examined unless any indication of disease or injury exists.

Fracture and dislocations

More detailed description of disease or injury

Opinion as to the cause of death:-

Station:Date:Veterinary Officer in Charge

No.
From,

To,
THE CHEMICAL ANALYSER TO GOVERNMENT
OF MAHARASHTRA, REG. FORENSIC LAB. NAGPUR
Date:
FORWARDING the articles mentioned below for examination for .....
........................................ in connection with the case of
--------------------------Description of articles

Mode of packing and weight of parcel

(a)Box No.

Mode of Dispatch
Date

Copt of the label attached to bottle

(b) Bottle No.

Date of Receipt in Chemical Analyzers

Office

Facts of medico legal importance in connection with case :-

Station:Date:Veterinary Officer In Charge