Ramkanwari vs State Of Rajasthan (2024:Rj-Jd:30310)

Smt Ramkanwari W/o Late Sh. pukhraj, Aged About 35 Years, resident of Kumharon Ka Mohalla, Bhopalgarh, Jodhpur, Currently residing of A-73, Saraswati Nagar, Jodhpur. ----Petitioner Versus 1. The State Of Rajasthan, Through the PP. 2. Dr. Praveen Prajapat, Director Shree Hariram Hospital and Research Centre, Sainik Basti, Nagaur Rajasthan. 3. Dr. Divya Ratan Dhawan S/o Sh. Surendra Kumar Dhawan, 193 - Frontier Colony, Adarsh Nagar, Jaipur. ----Respondents

For Petitioner(s) : Mr. Aditiya Gupta For Respondent(s) : Mr. Sharwan Bishnoi, PP Mr. Himmat Singh Shekhawat Mr. Harish Purohit Mr. Shashank Ms. Vrinda Bhardwaj

HON'BLE MR. JUSTICE YOGENDRA KUMAR PUROHIT

Order

Reserved on 09/07/2024 Pronounced on 25/07/2024 Reportable

01- fuxjkuhdrkZ dh vksj ls ;g fuxjkuh ;kfpdk fo}ku v/khuLFk U;k;ky; vij ls'ku U;k;k/kh'k la[;k&7] tks/kiqj egkuxj ¼jkt-½ ds vk{ksfir vkns'k fnukad 27-09-2023 ls O;fFkr gksdj izLrqr dh xbZ gSA 02- la{ksi esa ekeys ds rF; bl izdkj ls gS fd ifjokfn;k&;kph dh vksj ls ,d bLrxklk U;k;ky; esa izLrqr dj ;g fuosnu fd;k fd ifjokfn;k&;kph ds ifr iq[kjkt dks fnukad 24-03-2017 dks Jh gfjjke gkWfLiVy ukxkSj esa isV nnZ dh f'kdk;r gksus ij fn[kk;k x;kA tgka ij dUlyVsUV ltZu MkWDVj izoh.k iztkir us dgk fd ejht ds xqnsZ esa iRFkjh gS ;fn tYnh vkWijs'ku ugha djok;k x;k rks ejht

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dk LokLF; fcxM+ ldrk gSA ftl ij ejht us gkWa Hkj nhA fnukad 24-03-2017 dks gh e`rd dks gjhjke gkWfLiVy ukxkSj esa HkrhZ dj fy;k x;kA MkWDVj izoh.k iztkir }kjk fnukad 26-03-2017 dks e/; jk=h 03%30 cts vFkkZr 27-03-2017 dks izkr% 3%30 cts izkfFkZ;k ds nsoj ';keyky dks fcuk lwfpr fd;s gh ejht dk iRFkjh dk vkWijs'ku fd;k x;kA ejht ds vkWijs'ku ds nkSjku vkWijs'ku fFk;sVj esa vU; MkWDVj ftudk uke fnO;jru /kou Fkk] Hkh mifLFkr FksA izkFkhZ;k ds ifr ds xqnksaZ ls NsM+NkM+ dj ,d xqnkZ Hkh fudky fy;k x;kA fnukad 27-03-2017 dks vkWijs'ku ds i'pkr~ ls ejht ds is'kkc esa :dkoV gksus yxh ,oa ejht dh gkyr xaHkhj gksrh xbZA 03- leqfpr fpfdRlk O;oLFkk ds vHkko esa vkWijs'ku ds ckn HkrhZ ejht dh gkyr T;knk [kjkc gksus ls MkWDVj }kjk viuh futh ,Ecwysal ls ejht dks tks/kiqj Jhjke gkWfLiVy esa HkrhZ djok;k x;kA tgka ij fnukad 31-03-2017 dks izkfFkZ;k ds ifr iq[kjkt dk fu/ku gks x;kA bl chp izkfFkZ;k o mlds ifjokjtu us ejht dks jktdh; eFkqjknkl vLirky ys tkus dh bZPNk tkfgj dhA MkWDVj izoh.k iztkir }kjk ncko Mkydj Jhjke vLirky esa gh ejht dks HkrhZ j[kk x;kA e`R;q ds i'pkr Hkh ifjokjtu tc ikfFkZo 'kjhj dks iksLVekVZe ds fy, ys tkus yxs rks gkWfLiVy okyksa us mUgsa Mjk /kedk dj tcjnLrh ?kj Hkst fn;kA e`rd dh e`R;q lsfIVflfe;k o 'kjhj ds T;knkrj vaxksa ds dke can djus ds dkj.k gqbZ gSA vLirky ds MkDVjksa us bZykt ds nkSjku ykijokgh iwoZd vkWijs'ku djus ls iwjs 'kjhj esa laØe.k QSyus ls e`R;q gqbZ] bR;kfnA bLrxklk izLrqr gksus ij bLrxklk /kkjk 156¼3½ n.M izfØ;k lafgrk ds rgr vuqla/kku gsrq iqfyl Fkkuk izrki uxj fHktok;k x;kA ftUgksaus ckn vko';d vuqla/kku ,Q vkj vne odw >wB esa izLrqr dhA ftl ij ifjoknh dks ryc fd;k x;kA ftlus ukjktxh ;kfpdk izLrqr dh o leFkZu esa Lo;a rFkk xokg ';keyky ds c;ku vUrxZr /kkjk 202 n.M izfØ;k lafgrk ys[kc) djok;sA 04- fo}ku v/khuLFk U;k;ky; vfrfjDr eq[; egkuxj eftLVªsV la[;k 2] tks/kiqj egkuxj }kjk cgl lquh tkdj v;kph la[;k 2 o 3 ds fo:) /kkjk 304, Hkkjrh; n.M lafgrk ds rgr fnukad 02-09-2019 dks izlaKku fy;k tkdj ryc fd;k x;kA

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05- v;kph la[;k 2 o 3 }kjk nks vyx&vyx fuxjkuh] fuxjkuh U;k;ky; esa is'k dh ftu nksuksa fuxjkfu;ksa dk U;k;ky; vij ls'ku U;k;k/kh'k la[;k&7] tks/kiqj egkuxj ¼jkt-½ }kjk vk{ksfir vkns'k fnukad 27-09-2023 }kjk fuLrkfjr djrs gq, fo}ku v/khuLFk U;k;ky; ds izlaKku vkns'k fnukad 02-09-2019 dks fujLr dj fn;k x;k vkSj iqfyl Fkkuk izrki uxj tks/kiqj }kjk izLrqr vafre izfrosnu la[;k 475@30-11-2017 dks Lohdkj fd;k x;k vkSj ;kph Jherh jkedaojh }kjk izLrqr izksVsLV fiVh'ku [kkfjt dh xbZ ftl ij ;kph }kjk ;g ;kfpdk izLrqr dh xbZ gSA 06- ;kfpdk esa ;g fuosnu fd;k fd fuxjkuh U;k;ky; }kjk rF;ksa vkSj nLrkostksa ij lgh rjhds ls fopkj ugha fd;k x;kA izFke n`"V;k miyC/k esVsfj;y ds vk/kkj ij v/khuLFk U;k;ky; }kjk 02-09-2019 dks izlaKku fy;k x;kA bl ekeys esa egRoiw.kZ rF; ;g gS fd e`R;q izek.k i= tks Jhjke gkWfLiVy] tks/kiqj }kjk fnukad 31-03-2017 dks tkjh fd;k x;kA ftlesa izFke n`"V;k e`R;q dk dkj.k Septicemia with ARF (Acute renal failure), ARDS (Acute respiratory distress

syndrome) and MODS (Multiple organ dysfunction syndrome) vafdr fd;k

x;k tks esfMdy cksMZ }kjk Hkh ekuk x;kA vuqla/kku vf/kdkjh o fuxjkuh U;k;ky; }kjk bl rF; ij xkSj ugha fd;k x;k fd ejht dk CyM bUQsD'ku ysoy fnukad 24-03-2017 dks dkQh vf/kd Fkk] tks lsfIVlhfe;k ml le; Hkh gksuk Li"V FkkA ,slh voLFkk esa esMhdy izksVksdkWy ds eqrkfcd bUQsD'ku ysoy tc rd ukWeZy jsat dk u gks rc rd vkWijs'ku ugha fd;k tkuk pkfg, FkkA ijUrq ukWeZy jsat ds iwoZ gh vkWijs'ku dj fn;k x;kA fuxjkuh esa vU; vk/kkj of.kZr djrs gq, ;g fuosnu fd;k fd v;kphx.k dh xzkWl usXyhtsalh bl ekeys esa Fkh] bl vk/kkj ij fuxjkuh U;k;ky; dk vkns'k fnukad 27-09-2023 fujLr fd;s tkus o vfrfjDr eq[; egkuxj eftLVªsV la[;k &2] tks/kiqj egkuxj ds vkns'k fnukad 02-09-2019 dks jsLVksj fd;s tkus dh izkFkZuk dh xbZA 07- cgl ;kfpdk lquh xbZA fo}ku vf/koDrk ;kph }kjk ;kfpdk esa of.kZr rF;ksa dks nkSjkus cgl rdksaZ ds :i esa izLrqr fd;k vkSj ;g rdZ izLrqr fd;k fd ;g esMhdy usXyhtsalh dk ekeyk gS] ftlds laca/k esa fopkj.k U;k;ky; }kjk tks izlaKku fy;k x;k og vkns'k fof/klEer FkkA fuxjkuh U;k;ky; }kjk tks vkns'k ikfjr fd;k

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x;k og fujLr fd;s tkus dk fuosnu fd;k vkSj nkSjkus cgl fofHkUu U;kf;d n`"Vkarksa dh vksj esjk /;ku vkdf"kZr fd;kA 08- fo}ku vf/koDrk v;kphx.k dh vksj ls bldk l[r fojks/k djrs gq, fo}ku fuxjkuh U;k;ky; dk vkns'k fof/klEer gksuk crkrs gq, iqf"V fd;s tkus dh izkFkZuk dhA 09- eaSus mijksDr rdksaZ ij euu fd;k] i=koyh dk lko/kkuhiwoZd voyksdu fd;k vkSj fo}ku vf/koDrk ;kph dh vksj ls izLrqr U;kf;d n`"Vkarksa dk xgu v/;;u fd;kA fo}ku fuxjkuh U;k;ky; }kjk bl U;k;ky; o ekuuh; mPpre U;k;ky; ds fofHkUu U;kf;d n`"Vkarksa ij foLr`r foospu djrs gq, vkSj bl ekeys ds rF;ksa] ifjfLFkfr;ksa ij Hkh foLr`r :i ls fopkj djrs gq, fopkj.k U;k;ky; ds izlaKku vkns'k fnukad 02-09-2019 dks fujLr fd;k x;k vkSj nksuksa fuxjkfu;ka Lohdkj dh xbZ gSA bl fu.kZ; esa of.kZr U;kf;d n`"Vkarksa o ;kph dh vksj ls izLrqr U;kf;d n`"Vkarksa dk foospu bl ekeys esa fd;k tkuk fof/klEer gSA 10- tgka rd ;kph dh vksj ls izLrqr U;kf;d n`"Vkar Mehmood UI Rehman and ors. Vs. Khazir Mohammad Tunda and Ors. (AIR

2015SC2195) ds ekeys esa /kkjk 500 Hkkjrh; n.M lafgrk ds rgr ifjokn U;k;ky; esa is'k fd;k x;k FkkA bl ekeys esa iSjk la[;k 17 esa fuEukuqlkj foospu fd;k x;k gS%& "17. In Jagdish Ram v. State of Rajasthan and Anr., (2004) 4 SCC 432, the law was restated holding that at the stage of issuing process to the accused, the Magistrate is not required to record reasons. However, he has to be satisfied that there is sufficient ground for proceeding and such satisfaction is not whether there is sufficient ground for conviction. To quote:

10....The taking of cognizance of the offence is an area exclusively within the domain of a Magistrate. At this stage, the Magistrate has to be satisfied whether there is sufficient ground for proceeding and not whether there is sufficient ground for conviction. Whether the evidence is adequate for supporting the conviction, can be determined only at the trial and not at the stage of inquiry. At the stage of issuing the process to the accused, the Magistrate is not required to record reasons."

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11- blh izdkj fo}ku vf/koDrk ;kph dh vksj ls izLrqr U;kf;d n`"Vkar Dy. Chief Controller Of Imports And Exports VS Roshanlal Agarwal AIR

2003(SC) 1900 ds ekeys esa /kkjk 420] 467] 468] 471] 120ch Hkkjrh; n.M lafgrk

o /kkjk 5 bEiksVZ ,.M ,DliksVZ ¼dUVªksy½ vf/kfu;e 1947 ds rgr Lis'ky dksVZ ¼bdkWuksfed vkWQsUlst½ esa ifjokn is'k fd;k x;k Fkk ftl ij ekuuh; mPpre U;k;ky; }kjk fopkj djrs gq, iSjk la- 8 o 9 fuEukuqlkj mYysf[kr fd;k x;k %&

"8. The second reason given by the High Court for allowing the petition filed by the respondents (accused) is that the order passed by the Special Court taking cognizance of the offence does not show that the learned Magistrate had even perused the complaint or that he had applied his judicial mind before taking of the cognizance. The order passed by the learned Magistrate reads as under :

"Cognizance taken. Register the case. Issue summons to the accused."

9. In determining the question whether any process is to be issued or not, what the Magistrate has to be satisfied is whether there is sufficient ground for proceeding and not, whether there is sufficient ground for conviction. Whether the evidence is adequate for supporting the conviction, can be determined only at the trial and not at the stage of inquiry. At the stage of issuing the process to the accused, the Magistrate is not required to record reasons. This question was considered recently in U.P. Pollution Control Board v. M/s Mohan Meakins Ltd. & Ors., AIR 2000 SC 1456 and after noticing the law laid down in Kanti Bhadra Shah v.

State of West Bengal, AIR 2000 SC 522, it was held as follows :

"The legislature has stressed the need to record reasons in certain situations such as dismissal of a complaint without issuing process. There is no such legal requirement imposed on a Magistrate, for passing detailed order while issuing summons. The process issued to accused cannot be quashed merely on the ground that the Magistrate had not passed a speaking order."

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12- blh izdkj fo}ku vf/koDrk ;kph dh vksj ls izLrqr U;kf;d n`"Vkar S. K. Sinha, Chief Enforcement Officer VS Videocon International Ltd. , AIR

2008(SC) 1213 ds ekeys esa Hkh ifjokn is'k fd;k x;k Fkk tks /kkjk 18¼2½ o 18¼3½

lifBr /kkjk 68¼1½ o lifBr /kkjk 56¼1½ II FERA ds rgr is'k fd;k x;k Fkk ds ekeys esa iSjk la[;k 12 esa fuEukuqlkj foospu fd;k x;k gS %&-

"12.The expression cognizance has not been defined in the Code. But the word (cognizance) is of indefinite import. It has no esoteric or mystic significance in criminal law. It merely means become aware of and when used with reference to a Court or a Judge, it connotes to take notice of judicially. It indicates the point when a Court or a Magistrate takes judicial notice of an offence with a view to initiating proceedings in respect of such offence said to have been committed by someone. Taking cognizance does not involve any formal action of any kind. It occurs as soon as a Magistrate applies his mind to the suspected commission of an offence. Cognizance is taken prior to commencement of criminal proceedings. Taking of cognizance is thus a sine qua non or condition precedent for holding a valid trial. Cognizance is taken of an offence and not of an offender. Whether or not a Magistrate has taken cognizance of an offence depends on the facts and circumstances of each case and no rule of universal application can be laid down as to when a Magistrate can be said to have taken cognizance."

13- fo}ku fuxjkuh U;k;ky; }kjk vius fu.kZ; ds iSjk la[;k ¼14½¼9½, esa bl U;k;ky; dh led{k ihB ds fu.kZ; Bhagwan Sahai Khandelwal VS State of Rajasthan, 2006 1 RLW(Raj) 640 ij fopkj fd;k x;kA bl U;kf;d n`"Vkar

ds iSjk la[;k 6 o 7 esa fuEukuqlkj foospu fd;k x;k gS%&

"(6). Life and personal liberty of every person is of utmost importance. Hence, life and personal liberty cannot be interfered with without a reasonable cause and without a procedure established by law. Taking of cognizance is, thus, a serious matter. For it involves disturbing the life and personal liberty of a person. Facing of a criminal trial is an ordeal, which adversely affects the reputation, the finance, the energy and the time of the alleged offender. Thus, taking of cognizance cannot be done in a mechanical manner. It should be done after a

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judicious application of mind to the facts and circumstances of each case. Although, a meticulous examination of evidence is not required at the stage of taking cognizance, but the Magistrate must consider the case in a holistic manner. Piecemeal consideration of the evidence does not commensurate with the judicial vision. Hence, in case a FIR or a complaint is followed by a negative Final Report, which is subsequently followed by a protest petition, while allowing the protest petition, a Judicial Magistrate is legally bound to discuss the negative Final Report. Such a discussion is warranted for three reasons; firstly, the Principles of Natural Justice demand and dictate that any order adversely affecting a right should be a speaking order. Although a elaborate discussion may not be required, but the order must contain sufficient reasons showing the application of a judicious mind, for disagreeing with the negative Final Report. Secondly, since the cognizance order is a revisionable order, the Higher Judicial Authorities have a right to know the reasons, which weighed in the mind of the Judicial Magistrate for disagreeing with the negative Final Report. In the absence of such reasons, the Higher Judicial Authorities (the Sessions Court or the High Court) are left in the dark. Thirdly, it is a settled doctrine of law that ``justice should not only be done, but also must appear to be done. Therefore, the accused has a right to know the reasons why the learned Judicial Magistrate has disagreed with the negative Final Report submitted by the Police after a thorough investigation. In case, such reasons are not stated, alleged offender may find it difficulty to question the validity of the reasoning, hence a cryptic order is not a judicious order whereas cognizance order should always be a judicious order.

(7). In case of Sampat Singh vs. State of Haryana (1993 SCC (Cri.) 376), the Honble Supreme Court had clearly stated that the Magistrate must give reason for disagreeing with the negative Final Report. In case, no such reasons are given, then the order is unsustainable in the eyes of law.

Taking a cue from the said judgment, this Court, in case of Gopal Sharma vs. State of Rajasthan [2005 (10) RDD 4197 (Raj.)], has held a similar view."

14- bl U;k;ky; ds Hkxoku lgk; [k.Msyoky¼Supra½ okys ekeys esa lqizhe dksVZ ds lEirflag¼Supra½ ds U;kf;d n`"Vkar dk mYys[k fd;k x;k gS lEirflag¼Supra½ ds U;kf;d n`"VkaV ds iSjk la[;k 6 esa fuEukuqlkj mYysf[kr fd;k x;k gS %&

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"6. Needless to say, it is not for a Court to keep track of an investigation and watch its day to day progress but, of course, when an investigation culminates into a final report as contemplated under Section 173 of Cr.P.C., then the competent Court enjoins a duty within its authority sanctioned by law to scrupulously scrutinise the final report and the accompaniments by applying its judicial mind and take a decision either to accept or reject the final report. In the present case, that stage has come on the submission of the final report, namely the cancellation report, by the Investigating Officer."

15- iwoZ esa of.kZr U;kf;d n`"Vkarksa ds ifjizs{; esa loZizFke gLrxr ekeys ij fopkj fd;k tk jgk gSA gLrxr ekeys esa ;kph dh vksj ls izLrqr ifjokn dks /kkjk 156¼3½ n.M izfØ;k lafgrk ds rgr iqfyl Fkkuk izrki uxj] tks/kiqj dks Hkstk x;k ftl ij ckn tkap vfUre izfrosnu la[;k 475 fnukad 30-11-2017 dks is'k fd;k x;kA ftl ij ;kph }kjk izksVsLV fiVh'ku is'k dj nks xokgku ds c;ku djok;s x;s FksA rRi'pkr cgl lquh tkdj v/khuLFk U;k;ky; }kjk fnukad 02-09-2019 dks v;kph la[;k 2 o 3 ds fo:) /kkjk 304, Hkkjrh; n.M lafgrk esa izlaKku fy;k x;kA bl vkns'k esa fopkj.k U;k;ky; }kjk iqfyl }kjk ,Qvkj esa izLrqr vk/kkjksa dk foospu ugha fd;k x;k vkSj esMhdy cksMZ }kjk tks jk; nh xbZ Fkh ml ij Hkh izFke n`"V;k gh fopkj ugha fd;k x;kA dsoy ek= blh vk/kkj ij gh fopkj.k U;k;ky; dk vkns'k fnukad 02-09-2019 fujLr ;ksX; Fkk vkSj bl ij fuxjkuh U;k;ky; }kjk fopkj dj bl vk/kkj ij fuxjkuh Lohdkj dh xbZ vkSj v/khuLFk U;k;ky; dk vkns'k fujLr fd;k x;kA 16- ;kph dh vksj ls izLrqr U;kf;d n`"Vkarksa esa ifjokn ij ntZ ekeyksa esa U;k;ky; esa tkap dh xbZ FkhA iqfyl }kjk bu rhuksa ekeyksa esa vuqla/kku ugha fd;k x;k FkkA ,slh voLFkk esa ;kph dh vksj ls izLrqr rhuksa U;kf;d n`"Vkarksa dk dksbZ ykHk gLrxr ekeys esa izkIr djus dh ;kph vf/kdkfjuh ugha gS vkSj fuxjkuh U;k;ky; }kjk bl U;k;ky; dh led{k ihB ds fu.kZ; Hkxoku lgk; [k.Msyoky ¼Supra½ tks fd ekuuh; mPpre U;k;ky; ds lEirflag ¼ Supra½ ds fu.kZ; ij

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vk/kkfjr gS] ds vk/kkj ij v/khuLFk U;k;ky; dk vkns'k fujLr djus esa dksbZ rF;kRed ,oa fof/kd Hkwy ugha dh xbZ gSA 17- vc bl ekeys esa esMhdy usXyhtsal ds laca/k esa fof/kd fLFkfr ij fopkj fd;k tk jgk gSA fo}ku vf/koDrk ;kph dh vksj ls izLrqr Malay Kumar Ganguly VS Sukumar Mukherjee, 2010 AIR(SC) 1162 ds ekeys esa iSjk la[;k 203 esa fuEukuqlkj foospu fd;k gS %&

"The jurisprudential concept of negligence differs in civil and criminal law. What may be negligence in civil law may not necessarily be negligence in criminal law. For negligence to amount to an offence the element of mens rea must be shown to exist. For an act to amount to criminal negligence, the degree of negligence should be much high degree. A negligence which is not of such a high degree may provide a ground for action in civil law but cannot form the basis for prosecution. To prosecute a medical professional for negligence under criminal law it must be shown that the accused did something or failed to do something which in the given facts and circumstances no medical professional in his ordinary senses and prudence would have done or failed to do."

18- fo}ku fuxjkuh U;k;ky; }kjk bl laca/k esa Hkh fopkj fd;k x;k vkSj ekuuh; mPpre U;k;ky; ds U;kf;d n`"Vkar Martin F. D'Souza VS Mohd. Ishfaq 2009 (3) SCC 1 ds iSjk la[;k 28 yxk;r 38 o iSjk la[;k 54 o vU;

iSjksa ij fopkj fd;k x;kA ftuesa ls esjs }kjk ds iSjk la[;k 35] 38 ij fopkj fd;k x;k] tks fuEukuqlkj gS %&

"35. Before dealing with these principles two things have to be kept in mind:

(1) Judges are not experts in medical science, rather they are lay men. This itself often makes it somewhat difficult for them to decide cases relating to medical negligence. Moreover, Judges have usually to rely on testimonies of other doctors which may not necessarily in all cases be objective, since like in all professions and services, doctors too sometimes have a tendency to support their own colleagues who are charged with medical negligence. The testimony may also be difficult to understand, particularly in complicated medical matters, for a layman in medical matters like a

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Judge; and (2) A balance has to be struck in such cases. While doctors who cause death or agony due to medical negligence should certainly be penalized, it must also be remembered that like all professionals doctors too can make errors of judgment but if they are punished for this no doctor can practice his vocation with equanimity.

Indiscriminate proceedings and decisions against doctors are counter productive and serve society no good. They inhibit the free exercise of judgment by a professional in a particular situation.

38. The basic principle relating to medical negligence is known as the BOLAM Rule. This was laid down in the judgment of Justice McNair in Bolam vs. Friern Hospital Management Committee2 (1957) 1 WLR 582 as follows :

"Where you get a situation which involves the use of some special skill or competence, then the test as to whether there has been negligence or not is not the test of the man on the top of a Clapham omnibus, because he has not got this special skill. The test is the standard of the ordinary skilled man exercising and professing to have that special skill. A man need not possess the highest expert skill.....It is well-established law that it is sufficient if he exercises the ordinary skill of an ordinary competent man exercising that particular art."

Bolam's test has been approved by the Supreme Court in Jacob Mathew's case."

19- ekuuh; mPpre U;k;ky; }kjk Bombay Hospital & Medical

Research Centre Versus Asha Jaiswal & Ors. Civil Appeal No. 1658 Of

2010 Judgment date November 30, 2021.( 2021 SCC online SC 1149)

ds ekeys esa iSjk la[;k 36 esa fuEukuqlkj mYysf[kr fd;k x;k gS %&

"36. --------- the sole basis of finding the appellants negligent was res ipsa loquitor which would not be applicable herein keeping in view the treatment record produced by the Hospital and/or the Doctor. There was never a stage when the patient was left unattended. The patient was in a critical condition and if he could not survive even after surgery, the blame cannot be passed on to the Hospital and the Doctor who provided all possible treatment within their means and capacity. ----- The family may not have coped with the loss of their loved one, but the Hospital and the Doctor cannot be blamed as they provided the requisite care at all given times. No doctor can

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assure life to his patient but can only attempt to treat his patient to the best of his ability which was being done in the present case as well."

20- ekuuh; mPpre U;k;ky; }kjk vius uohure U;kf;d n`"Vkar Mrs. Kalyani Raja Versus Indraprastha Appollo Hospital & Ors. Civil Appeal

No. 10347 Of 2010 Date of Judgment October 17, 2023. (2023 INSC

921) ds ekeys esa Hkh ekfVZu ,Q fMlwtk ¼ Supra½ o ekuuh; mPpre U;k;ky; ds

ckWEcs gkWfLiVy ,.M esMhdy fjlpZ lsUVj ¼ Supra½ rFkk ;kph dh vksj ls izLrqr ey; dqekj xkaxwyh ¼Supra½ ds ekeyksa ij fopkj fd;k x;k vkSj bl ekeys esa iSjk la[;k 31 o 32 esa fuEukuqlkj mYysf[kr fd;k x;k%&

"31. The case in hand stands on a better footing, in as much as there was no mistake in diagnosis or a negligent diagnosis by Respondent no. 2. In the absence of the patient having any history of diabetes, hypertension, or cardiac problem, it is difficult to foresee a possible cardiac problem only because the patient had suffered pain in the neck region.

32. For the foregoing, this Court is of the considered view that the appellant has failed to establish negligence on the part of Respondents in taking post operative care and the findings in this regard recorded by the Commission does not suffer from any illegality or perversity."

21- mijksDr U;kf;d n`"Vkarksa esa izfrikfnr fl)kUrksa ds ifjizs{; esa gLrxr ekeys ij fopkj fd;k x;kA gLrxr ekeys esa fuxjkuh U;k;ky; }kjk iqfyl }kjk ,df=r dh xbZ esMhdy cksMZ dh fjiksVZ dk foospu fd;k x;k vkSj Li"V :i ls ekuk fd esMhdy usXyhtsal dk ekeyk izFke n`"V;k gh izrhr ugha gksrk bl vk/kkj ij Hkh fo}ku v/khuLFk U;k;ky; dk vkns'k fnukad 02-09-2019 fujLr fd;k x;kA 22- bl U;k;ky; }kjk i=koyh esa izLrqr esMhdy cksMZ dh fjiksVZ ij fopkj fd;k x;kA iqfyl }kjk vius vuqla/kku esa Hksts x;s i= fnukad 16-11-2017 ds Øe esa dk;kZy; v/kh{kd layXu fpfdRlky; lewg] tks/kiqj }kjk dk;kZy; vkns'k fnukad 20- 11-2017 esa pkj MkWDVjksa dk esMhdy cksMZ cuk;k ftlesa ltZu] fQft'kh;u] ;wjksyksftLV] ,uslFkSfVLV Fks ftuds }kjk tkap fjiksVZ ds fcUnq la[;k 1 (Downloaded on 25/07/2024 at 08:56:31 PM) [2024:RJ-JD:30310] (12 of 14) [CRLMP-141/2024]

ls 7 esa viuh jk; nh xbZ vkSj izFke lwpuk fjiksVZ esa ;kph dh vksj ls eq[; vk/kkj tks fy;k x;k Fkk fd vkWijs'ku ds nkSjku 'kjhj ls xqnkZ fudky fy;k og lgh ugha ekuk vkSj Li"V fd;k x;k fd fnukad 26-03-2017 dks ejht dk vkWijs'ku fd;k x;k vkSj vkWijs'ku ds i'pkr NCCT Abdomen ds vuqlkj nksuksa xqnsZ 'kjhj ds vUnj gh ik;s x;sA ;g CT Scan fnukad 29-03-2017 dks Jhjke vLirky esa fd;k x;kA izFke lwpuk fjiksVZ esa ;g vafdr fd;k fd vfHk;qDr la[;k 3 MkWDVj izoh.k iztkir us vkWijs'ku ds nkSjku ykijokgh iwoZd ejht dh iS'kkc dh uyh esa Instrument Mkydj iRFkjh Øs'k djds fudkyus rFkk LVaV Mkyus ls iwjs 'kjhj esa laØe.k QSyus ls ejht dh e`R;q gqbZA tcfd esMhdy cksMZ dh fjiksVZ ds vuqlkj nksuksa xqnksaZ esa cM+h lkbZt dh iRFkjh Fkh vkSj ck¡;s xqnsZ ds ikbZi esa Hkh iRFkjh Qalh gqbZ Fkh vkWijs'ku dh tkus dh vko';drk Fkh vkSj ;g Li"V fd;k fd & ^^PCNL ,d blind surgery gS tks fd C-Arm guidance ls dh tkrh gS] pwafd bl ltZjh esa direct xqns esa puncture fd;k tkrk gS rFkk vUnj iRFkjh esa Hkh infective bacterial colonies gksrh gS ftlls ejht ds vUnj septicemia ds chances Hkh jgrs gSaA Specilally -mu ejhtksa esa ftlesa nksuksa xqnksaZ esa iRFkjh gks rFkk obstructive iRFkjh gksA bl ejht esa UVJ calculus Fkk rFkk TLC -Hkh vf/kd Fkh] ftlls ;gh vkHkkl gksrk gS fd bl rjg ds ejhtksa esa Septicemia dh lEHkkouk lkekU; ejhtksa ls vf/kd gksrh gSA^^ esMhdy cksMZ us viuh fjiksVZ esa ftl izdkj ls vkWijs'ku fd;k x;k og esMhdy izksVksdkWy ds eqrkfcd u fd;k x;k gks ,slh jk; ugha nh xbZ gSA 23- bl ekeys esa esMhdy cksMZ dh tks jk; gS mlds eqrkfcd vkWijs'ku fnukad 26-03-2017 dks lqcg pkj cts fd;k x;k vkSj ejht djhc ipkl ?kaVs rd Bhd Fkk] mlds parmeters(pulse, BP) rFkk urine output djhc&djhc lkekU; Fkk ftlls ;g izrhr gksrk gS fd ejht ds vUnj fdlh izdkj dh anaesthetic complication dh lEHkkouk bl ekeys esa ugha gS vkSj immediate surgical complication dh lEHkkouk Hkh de gSA

24- bl ekeys esa e`R;q dk dkj.k Septicemia with MODS(ARDS, ARF) gksuk cksMZ }kjk crk;k x;kA Septicemia ds ckjs esa ;g vafdr fd;k gS fd ;g ckn esa Kkr gksus okyh surgical complication gSA pkj MkWDVjksa ds }kjk foLr`r tkap fjiksVZ nLrkostkr ds vk/kkj ij nh xbZ gS] ;fn bu MkWDVjksa dks ;g izrhr gksrk fd (Downloaded on 25/07/2024 at 08:56:31 PM) [2024:RJ-JD:30310] (13 of 14) [CRLMP-141/2024]

bl ekeys esa vkWijs'ku ds le; ykijokgh jgh gS rks vo'; gh bl ckcr jk; izdV dh tkrhA 25- bl ekeys esa izksVsLV fiVh'ku esa ;kph }kjk ;g crk;k x;k Fkk fd MkWDVj izoh.k iztkir lksuksxzkQh fo'ks"kK ugha FkkA fQj Hkh lksuksxzkQh fjiksVZ rS;kj djokbZ xbZ FkhA bl laca/k esa fuxjkuh U;k;ky; ds fu.kZ; ds iSjk la[;k 14¼7½ esa of.kZr vuqlkj leqfpr izkf/kdkjh] ih-lh-ih-,u-Mh-Vh-] mi[k.M ukxkSj rFkk eq[; fpfdRlk ,oa LokLF; vf/kdkjh] ukxkSj ds }kjk tkjh i= fnukad 13-01-2022 ds }kjk MkWDVj izoh.k dqekj dks lksuksxzkQh ds fy, vf/kd`r fd;k gqvk Fkk blls fuxjkuh U;k;ky; }kjk Li"V fd;k x;k fd MkWDVj izoh.k dqekj lksuksxzkQh djus ds fy, vf/kd`r gSA ;kfpdk esa bl rF; dk dksbZ [k.Mu ;kph dh vksj ls ugha fd;k x;k] u gh nkSjkus cgl bl ckcr dksbZ rdZ izLrqr fd;kA ,slh voLFkk esa izksVsLV fiVh'ku esa tks MkWDVj izoh.k iztkir dk lksuksxzkQh ds fy, vf/kd`r ugha gksus ckcr vkifRr dh xbZ og vkifRr Hkh izFke n`"V;k gh pyus ;ksX; ugha gSA bl ekeys esa fuxjkuh U;k;ky; }kjk vius fu.kZ; esa vuqla/kku fjiksVZ ij foLr`r foospu fd;k rFkk iSjk la[;k 14¼6½ esa ;g Li"V fd;k fd MkWDVj fnO;jru /kou t;iqj ls vkWijs'ku djus ds fy, Jh gjhjke gkWfLiVy] ukxkSj vk;s Fks vkSj vkWijs'ku ds mijkUr ejht dh tkWap dh Fkh mldk LokLF; lkekU; ik;s tkus ij os t;iqj pys x;s vkSj mlds mijkUr Qksu ij MkWDVj izoh.k iztkir ds lEidZ esa FksA vr% ;g ugha ekuk tk ldrk fd ejht dk bykt VsyhQksu ls fd;k x;k gksA 26- fuxjkuh U;k;ky; }kjk vius fu.kZ; ds iSjk la[;k 14¼3½ esa ;g Hkh Li"V fd;k gS fd vuqla/kku esa ;g Hkh ik;k x;k fd MkW- izoh.k iztkir }kjk vkWijs'ku ugha fd;k x;kA ,uLFkhfl;k MkW- ch-vkj- lkj.k }kjk fQVus"k nsus ds ckn ;qjksyksftLV ltZu MkW- fnO;jru /kou }kjk vkWijs'ku fd;k x;kA 27- bl ekeys esa vuqla/kku vf/kdkjh }kjk viuh vuqla/kku fjiksVZ esa foLr`r foospu fd;k x;k gS vkSj fuxjkuh U;k;ky; }kjk ml ij fopkj dj foLr`r :i ls vkns'k ikfjr fd;k x;k gSA ;kph ds ifr dh e`R;q gks tkus ls LokHkkfod :i ls viuh ihM+k ds dkj.k izFke lwpuk fjiksVZ ifjokn ds vk/kkj ij ntZ djokbZ xbZ vkSj bl U;k;ky; esa Hkh ;kph viuk ekeyk ysdj vkbZ gSA ijUrq izlaKku ds fy, izFke

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n`"V;k esMhdy usXyhtsalh dh lk{; gksus ij gh MkWDVjksa ds fo:) izlaKku fy;k tk ldrk gSA dsoy ;kph dh ihM+k ds vk/kkj ij izlaKku fy;k tkuk fof/klEer ugha gSA 28- gLrxr ekeys esa fuxjkuh U;k;ky; }kjk foLr`r foospu dj izFke n`"V;k ekeyk v;kph la[;k 2 o 3 ds esMhdy usXyhtsalh ds vk/kkj ij /kkjk 304, Hkkjrh; n.M lafgrk esa cuuk ugha ik;k tkdj tks izlaKku fo}ku v/khuLFk U;k;ky; }kjk fy;k x;k mls fujLr fd;k x;k gSA bl U;k;ky; dks /kkjk 482 n.M izfØ;k lafgrk ds rgr iznRr 'kfDr;ksa dk iz;ksx djrs gq, fo}ku fuxjkuh U;k;ky; }kjk ikfjr vk{ksfir vkns'k fnukad 27-09-2023 esa gLr{ksi fd;k tkuk U;k;ksfpr izrhr ugha gksrkA vr% fuxjkuh U;k;ky; dk vkns'k iqf"V fd;s tkus ;ksX; gSA 29- ;kph dh ;kfpdk vUrxZr /kkjk 482 n.M izfØ;k lafgrk [kkfjt dh tkrh gS rFkk fuxjkuh U;k;ky; vij ls'ku U;k;k/kh'k la[;k&7] tks/kiqj egkuxj }kjk v;kphx.k la[;k 2 o 3 dh vksj ls izLrqr QkStnkjh fuxjkuh ;kfpdk la[;k 42@2020 o 41@2022 esa la;qDr :i ls ikfjr vkns'k fnukad 27-09-2023 dh iqf"V dh tkrh gSA 30- rnuqlkj] ;kph dh vksj ls izLrqr ;g QkStnkjh fofo/k ;kfpdk fuLrkfjr dh tkrh gSA

(YOGENDRA KUMAR PUROHIT),J 3-SN LOHRA/-

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