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2026 Supreme(SC) 493

SUPREME COURT OF INDIA
DIPANKAR DATTA, SATISH CHANDRA SHARMA, JJ.
Dr. Nigam Prakash Narain – Appellant
Versus
National Medical Commission & Ors. – Respondents
Civil Appeal No. of 2026 [Arising out of SLP (C) No. 22707 of 2023]
Decided On : 06-05-2026

Advocates appeared:
For the Petitioner(s): Mr. Sunil Kumar, Sr. Adv. Ms. Rohini Prasad, AOR Ms. Ashika Ranjan, Adv. Ms. Samridhi Srivastava,
For the Respondent(s): Mr. Prateek Bhatia, AOR Mr. Dhawal Mohan, Adv. Mr. Sajan Sankar Prasad, Adv.

Disciplinary proceedings cannot punish on new charge without fresh show-cause notice after original charge dropped, breaching natural justice; courts may reduce penalty under Article 142 considering delay and circumstances.

Headnote:(A) Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 - Clauses 8.4, 8.5, 8.7 - Article 142 Constitution - Professional misconduct - Non-disclosure in faculty declaration form of prior appearance before inspection team at another medical college in same academic year - Original charge of appearing at two inspections successfully defended as absent abroad on conference leave during second inspection - New charge of omission in declaration without fresh show cause notice or hearing - Breach of natural justice principles - Mis-declaration however admitted - Penalty of three months removal from medical register disproportionate considering decade-long pendency and age; reduced to censure/warning. (Paras 11, 12, 13, 16)

(B) Disciplinary proceedings - Once charge dropped, cannot punish on variant charge absent fresh notice and opportunity to respond - Denial of fair hearing. (Para 12)

Facts of the case:
Paediatrician superannuated from government medical college, appointed professor at private medical college, appeared before inspection team there; resigned shortly after, rejoined original college on contract; signed declaration form prior to surprise inspection at original college omitting prior stint; absent abroad for paediatric conference on inspection date; show cause on fake declaration issued; replied with proof of absence; ethics committee initially cleared, later penalised on non-disclosure without notice; single judge quashed penalty, division bench restored.

Findings of Court:
Impugned order set aside; penalty modified to issuance of censure/warning by regulatory body in exercise of Article 142 powers for complete justice.

Issues: Whether division bench justified in restoring penalty order; validity of proceedings changing charge sans notice; proportionality of punishment.

Ratio Decidendi: Disciplinary authority cannot impose punishment on new/alternative charge without fresh show cause notice and hearing opportunity, violating natural justice; mis-declaration constitutes misconduct but quantum modifiable considering facts, delay and equity.

Result: Civil appeal allowed; penalty reduced.

Table of Content
1. omission of prior faculty institution in declaration form (Para 1 , 2 , 3)
2. division bench restores penalty for non-disclosure (Para 4 , 5 , 6)
3. challenge to division bench restoring ethics committee order (Para 7 , 8 , 9)
4. new charge without notice violates natural justice (Para 10 , 11 , 12)
5. mis-declaration constitutes serious professional misconduct (Para 13)
6. modify penalty to censure under article 142 (Para 14 , 15 , 16 , 17)

JUDGMENT :

DIPANKAR DATTA, J.

1. Leave granted.

THE APPEAL

2. The present appeal stems from a judgment and order dated 24th August 2023 passed by the High Court of Judicature at Patna1[High Court] in L.P.A. No. 1608 of 2017, whereby the Division Bench, in exercise of its intra-court appellate jurisdiction, allowed the appeal preferred by the Medical Council of India2[MCI] (since substituted by the National Medical Commission3[NMC]) and set aside the judgment and order dated 20th September 2017 passed by the Single Judge in C.W.J.C. No. 13547 of 2016, thereby restoring the order of penalty dated 21st July 2016 passed by the Ethics Committee of the MCI4[Ethics Committee], which had directed removal of the name of Dr. Nigam Prakash Narain5[Dr. Narain] from the Indian Medical Register for a period of three months. The challenge to such judgment and order is at the instance of Dr. Narain.

FACTUAL MATRIX

3. Facts giving rise to the lis are as follows:

3.1. Dr. Narain is a paediatrician. He holds a Ph.D. in Paediatrics and M.R.C.P. from the Royal College of Physicians, London, and has been registered as a medical practitioner with the Bihar Council of Medical Registration since the year 1976. He served as a faculty member in the Department of Paediatrics, Patna Medical College, Patna6[PMC] since 1985, attaining the position of Professor and Head of the Department of Paediatrics from which he superannuated on 30th September 2014.

3.2. Post his retirement from the PMC, Dr. Narain was appointed as Professor, Department of Paediatrics, at Shridev Suman Subharti Medical College & Hospital, Dehradun7[SSSMC] on 3rd January 20158[vide appointment letter bearing Ref. No. JNSCT/2015/01/1596]. Pursuant to this appointment, on 22nd January 2015, an MCI inspection was conducted at the SSSMC, wherein Dr. Narain appeared as faculty of the said institution before the Inspecting Team of the MCI.

3.3. In the meanwhile, Dr. Narain received an offer to rejoin the PMC as Professor on a non-cadre post of Professor on contractual basis. Accordingly, Dr. Narain submitted his resignation to the SSSMC vide letter dated 6th April 2015 and stood formally relieved from service vide relieving certificate dated 7th April 20159[Bearing Ref. No. JNSCT/2014/04/310]. On the very same date, i.e., 6th April 2015, the Bihar Government, Health Department, issued a notification for the contractual appointment of Dr. Narain at the PMC. Dr. Narain joined the PMC on contractual basis on 10th April 2015, in pursuance of the office order of even date issued by the Principal, PMC.

3.4. Prior to the seed of the lis, i.e., the surprise inspection scheduled to be conducted by the MCI at the PMC on 5th May 2015, Dr. Narain had, on 21st April 2015, signed a Declaration Form (which was co-signed by the Head of the Department, Paediatrics, and the Principal of the PMC on 27th April 2015) and left the same with the Principal for safekeeping, to be produced before the Assessors of the MCI at the time of the surprise inspection. It is the admitted position that the said Declaration Form did not contain any mention of Dr. Narain’s short stint at the SSSMC during the same academic year.

3.5. On 5th May 2015, the MCI conducted a surprise inspection at the PMC. Dr. Narain, however, was not present in the country on the date of the inspection. He had applied for and granted Ex-India leave for six days from 4th May 2015 to 9th May 2015, to attend the 48th Annual Meeting of the European Society for Paediatric Gastroenterology, Haematology and Nutrition10[

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