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2025 Supreme(All) 2869

IN THE HIGH COURT OF ALLAHABAD, LUCKNOW BENCH
PRASHANT KUMAR, J.
Dr. Ashok Kumar Rai – Applicant
Versus
State of U.P. and another – Opposite Party
APPLICATION U/S 482 No. - 28703 of 2008
Decided On : 24-07-2025

Advocates appeared:
For the Applicant :- Senior Advocate, Shailendra Kumar Rai
For the Opposite Party :- Govt. Advocate, eS.K.Mishra

To establish criminal negligence against medical professionals, evidence of gross negligence is essential. Mere errors in judgment are insufficient for prosecution.

Headnote:(A) Code of Criminal Procedure, 1973 - Section 482 - Indian Penal Code, 1860 - Sections 304A, 315, 323, and 506 - Application to quash summoning order for medical negligence - The court held that prima facie, a case exists against the applicant concerning the alleged medical negligence leading to the death of a foetus due to delayed surgery. The medical board's findings were cited but insufficient for quashing the order as contradictions were found in applicant's statements regarding procedure timelines. (Paras 10, 14, 18, 36, 43)

Facts of the case:
An FIR was lodged alleging negligence during a surgical procedure at the applicant’s nursing home, resulting in the death of a foetus. Despite consent for surgery made at 11 A.M., the operation was delayed until 5:30 P.M., and evidence indicated potential negligence. (Paras 3, 21, 28)

Findings of Court:
The court refused to quash the proceedings emphasizing prima facie evidence of negligence due to significant delays in the surgical intervention resulting from the applicant's failure to act timely. (Paras 36, 43)

Issues: The main issues included whether the delay in surgery constituted negligence, the admissibility of medical board reports in establishing negligence, and the existence of contradictions in the applicant's statements. (Paras 4, 10, 18)

Ratio Decidendi: The court underscored the necessity for careful scrutiny of medical negligence claims and reiterated that mere errors do not equate to criminal negligence, requiring higher standards to be upheld for prosecution. However, the unique facts warranted the continuation of proceedings against the applicant. (Paras 26, 28, 38)

Result: Application dismissed; criminal proceedings not quashed.

Table of Content
1. case background and medical negligence details. (Para 3 , 4 , 6 , 8)
2. arguments on qualifications and medical opinion. (Para 10 , 12 , 13)
3. counterarguments regarding evidence inconsistencies. (Para 14 , 16)
4. court's findings and observations on medical evidence. (Para 18 , 19 , 20 , 21 , 22)
5. credibility of medical board findings in negligence cases (Para 24)
6. principles for establishing medical negligence. (Para 28 , 30 , 37)
7. distinction between civil and criminal negligence in medical practice (Para 29 , 35)
8. conclusions on prima facie evidence. (Para 43 , 44)
9. dismissal of application due to lack of merits (Para 45 , 47)

JUDGMENT

Hon'ble Prashant Kumar, J.

1. Heard Sri I.K. Chaturvedi, learned Senior Advocate assisted by Sri Shailendra Kumar Rai, learned counsel for the applicant, Sri S.D. Pandey, learned A.G.A. for the State and Sri S.K. Mishra, learned counsel for O.P. no.2.

2. The present application under Section 482 Cr.P.C has been filed by the applicant with a prayer to quash summoning order dated 15.09.2008 passed by A.C.J.M., Court No.19, Deoria under Section 304A, 315, 323 and 506 IPC as well as the entire proceedings of Case No.17 of 2008 pending in the court of Additional Chief Judicial Magistrate, Court no.19, Deoria.

FACTS OF THE CASE

3. In the instant matter, an FIR was lodged on 29.07.2007 by O.P. no.2 wherein it is alleged that wife of younger brother of the informant/O.P. no.2 was admitted in Savitri Nursing Home, Deoria, which is owned/runned by the applicant, who happens to be a doctor. It has been alleged that the patient was admitted to the hospital on 28.07.2007 at 10.30 A.M. for delivery. At around 11 O’Clock on 29.07.2007 the applicant called O.P. No.2 and checked up the patient and told her relatives that it is necessary for the patient to undergo surgery and asked for their consent. The same was immediately given, however, the surgery was not carried out in time. In the meanwhile, condition of the patient kept deteriorating and it is only at about 5.30 P.M. the patient was taken into the operation theatre. After operation, the informant was informed that the foetus has died. When objection was raised by the family members of the patient, and then they were beaten up by the employees of the doctor (applicant) and his associates. The doctor has also taken Rs. 8700/- for the surgery and asked the informant to deposit another Rs. 10,000/-. Even no discharge slip was given to the patient. After registration of the FIR, post mortem examination was conducted on the dead body of the child.

4. After registration of FIR, police wrote a letter to the concerned Chief Medical Officer calling for his opinion in the matter. The C.M.O. called upon the applicant to give his version. The applicant herein had immediately given statement on 14.11.2007 to the C.M.O. which reads as follows:-

5. After receiving the statement of the applicant, the C.M.O. constituted Medical Board to look into the issue. The Medical Board looked into the case and gave following report on 17.11.2007 :-

6. Immediately thereafter the C.M.O. sent a letter to the I.G. Police Gorakhpur stating that the applicant is not at fault by giving following report :-

7. However, at this point of time there was no mention of the post mortem report which was carried out of the foetus and same was not placed before the Medical Board.

8. On the basis of the report of the Medical Board, final report was submitted by the I.O. on 30.11.2007. Aggrieved by this final report, the complainant filed protest petition on 15.03.2008 in which it is specifically stated that the consent for surgery was given at 11 O’Clock on 29.07.2007. However, surgery was not carried out. It was only at 5.30 P.M. the patient was taken to O.T. Thereafter, husband of patient made to sign on some papers, and soon, thereafter staff of the applicant announced that the foetus as dead. The death was due to the negligence of the doctor and when the same was challenged, the info

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