Ranjeet Kumar Ghosh: Calcutta High Court Allows Kidney Donation By Driver's Wife, No Commercial Dealing

In a significant ruling that underscores the importance of genuine altruistic organ donation, the Calcutta High Court has set aside the refusal of the State Level Authorization Committee to permit a kidney transplant from a non-relative donor to a patient suffering from chronic kidney disease. Justice Krishna Rao, presiding over a constitutional writ petition, held that the committee's rejection was not in accordance with the statutory framework, particularly when no evidence of commercial dealing or involvement of middlemen was found.

The Life-Saving Quest: A Chronic Patient's Plea

Ranjeet Kumar Ghosh, the petitioner, had been diagnosed with chronic kidney disease and advised renal transplantation by doctors at Narayana Health, Mukundapur, Kolkata. After his family members were found unsuitable as donors, the wife of his driver—a woman with a compatible blood group—voluntarily stepped forward to donate one of her kidneys. The proposed donor and Ghosh jointly applied for approval under the Transplantation of Human Organs and Tissues Act, 1994, submitting medical fitness certificates and affidavits.

Verification and Roadblocks: A Tale of Two Committees

A police inquiry conducted through the Deputy Commissioner of Police, Special Branch, Barrackpore Police Commissionerate , found "no unofficial dealing in cash or kind between the donor and the recipient" and confirmed the absence of any middleman. Despite this clean chit, the District Level Verification Committee did not recommend the transplant. It pointed to discrepancies: the donor's husband had stated he had been driving since 2021 , but his driving licence was issued only on February 27, 2024 . Additionally, no documentary evidence was produced to prove his employment through a car centre since 2021 .

The State Level Authorization Committee, after examining the donor, her husband, and the recipient's wife, concluded that they had failed to satisfactorily establish their relationship. The committee refused permission, citing the licence issue and the lack of proof regarding the husband's driving history.

Court's Scrutiny: Love and Affection Over Bureaucratic Hurdles

Justice Rao perused the video-recorded statements of the parties. The donor stated she had known Ghosh for four years, describing him as "Kaku" (uncle), and said she was donating out of love and concern after witnessing his deteriorating health. Her husband confirmed driving Ghosh to hospitals for dialysis through a car centre booking.

The court examined the relevant provisions—Section 9(3) of the Act and Rule 7(3) of the Transplantation of Human Organs and Tissues Rules, 2014—which allow non-relative donations motivated by "affection or attachment" subject to prior approval. The court also relied on the Supreme Court's judgment in Kuldeep Singh & Anr. v. State of T.N. & Ors. , which held that the Authorization Committee must ascertain the true intent behind the donation and that the burden on applicants should not be excessive in the absence of definite material indicating financial dealings.

Key Observations from the Bench

The court made pivotal observations that shaped the outcome:

"Too much of burden cannot be laid on the shoulders of the applicants, unless there is definite material to establish that there are financial dealing involving the parties, permission ought not to be withheld or rejected."

"If the donor states that out of her love and affection, he/she is making the donation, in the absence of any credible reason, the averment should not be doubted."

The court noted that the police report had already ruled out commercial transactions and middlemen. The donor's annual income was ₹1.48 lakh, and her statements reflected genuine affection. The discrepancy in the driving licence—while a factual inconsistency—did not, by itself, indicate any commercial motive or undermine the donor's stated intent.

The Verdict: A Second Chance for Life

Justice Krishna Rao set aside the decision of the State Level Authorization Committee, quashing its refusal order. The court directed the committee to reconsider Ghosh's request and take an appropriate decision within two weeks from the date of receipt of the order. The writ petition was allowed, and the parties were authorized to act on the server copy of the judgment.

This ruling reinforces the principle that in the absence of credible evidence of commercial dealing, the altruistic intent of a donor should be respected, and bureaucratic hurdles should not stand in the way of life-saving transplants.