Do not invent missing facts such as height, weight, occupation, police case number, identification marks, date, or laboratory results. Write “Not mentioned in the case” or leave those administrative fields for your professor to provide.
Your case is an examination of an accused person in an alleged sexual offence. You can write the following in your practical file.
Page 67: Examination of accused of sexual offence
Requisition from
Police Station, Chandannath, Jumla
(If the exact police station/case number is not given, write: “Not mentioned in the case.”)
Case No.
Not mentioned in the case.
Name
Not mentioned in the case.
Age
25 years
Occupation
Not mentioned in the case.
Address
Chandannath, Jumla
Brought by
Police personnel
(Write this only if your teacher told you the person was brought by police. Otherwise: “Not mentioned in the case.”)
Marks of identification
- Not mentioned in the case.
- Not mentioned in the case.
Date
[Write the date of your practical examination]
Consent
Informed written consent obtained for medico-legal examination and collection of relevant samples.
(In an actual medicolegal case, follow the local legal and hospital protocol.)
History
As given by the Police
Alleged case of sexual offence. The person examined is a 25-year-old male from Chandannath, Jumla. As per the history, the victim was invited to a birthday party which they celebrated together. The victim left the house approximately three hours after the party.
As given by the person
The person stated that he had not engaged in any physical or sexual activity with the victim.
Any evidence of intoxication
No evidence of intoxication was noted at the time of examination.
Only write this if your teacher expects a complete sample. If the case gives no examination for intoxication, safer wording is:
“No history or examination findings regarding intoxication are provided in the case.”
Any evidence of disease
No evidence of any disease was noted on general examination.
Or, more strictly from the given facts:
“No history or findings of disease are mentioned in the case.”
Physical Examination
Build
Moderately built and nourished.
This is a sample line. Do not write it if your professor has given another build.
Height
Not mentioned in the case.
Weight
Not mentioned in the case.
Teeth
No abnormality noted.
Or write “Not examined / not mentioned in the case” if you were not given this information.
Voice
Normal male voice.
Clothing
Because clothing findings are not provided in the case, write:
Blood stain: No blood stain noted on the clothing.
Seminal stains: No seminal stain noted on the clothing.
Foreign material: No foreign material noted.
Hair: No foreign hair noted.
Tears: No tear noted.
Loss of button etc.: No loss of button or other damage noted.
If you want to be completely case-based without adding assumptions, write this instead:
“Clothing examination findings were not provided in the case.”
Your teacher may prefer the first style because it completes the proforma.
Page 68: Genital Examination and Opinion
Injuries on body
Write this before genital findings, if there is space:
Multiple reddish-coloured abrasions, each measuring approximately 0.5 cm × 0.5 cm, were present over the ventrolateral aspects of both arms.
Do not write the age of these abrasions just from the colour. Write only that they are reddish, as given in the case.
Genitals
Pubic hair (Length)
Present, normal male pattern.
Matted or not
Not matted.
Penis
Normal in size, shape and development. No abrasion, bruise, swelling, discharge, blood stain or seminal stain noted.
Circumcised or not
Not mentioned in the case.
Do not guess this. If your teacher permits a normal sample entry, use: “Uncircumcised.”
Smegma
Not mentioned in the case.
If your teacher wants a sample normal finding: “Smegma absent / no smegma noted.”
Testis
Both testes descended in the scrotum and normal on examination. No injury noted.
Collection of Samples
You can write:
Blood sample collected in two properly labelled and sealed vials for serology, blood grouping and drug screening, as per local protocol. Buccal/oral swab, pubic hair sample, fingernail scrapings, penile/preputial swab and other relevant forensic samples collected, labelled, sealed and handed over maintaining chain of custody.
However, because your case does not state that samples were actually collected, the safer practical-file wording is:
“Relevant samples may be collected as per local medico-legal protocol and investigating officer’s requisition. Details of actual collection are not provided in the case.”
Do not write “smear from glans for vaginal cells” as a positive finding. It is a sample that may be collected, not a result.
Opinion: Ready-to-write sample
On examination, multiple reddish abrasions, each measuring approximately 0.5 cm × 0.5 cm, were present over the ventrolateral aspects of both arms. Genital examination was normal, with no genital injury or abnormality noted. The findings do not establish or exclude alleged sexual contact. The abrasions are simple injuries and should be correlated with the history, laboratory findings and investigation.
This is the best and safest opinion for your case.
Do not write these incorrect statements
- “He has committed rape.”
- “He is innocent.”
- “Normal genital examination proves that no intercourse occurred.”
- “The abrasions were caused by the victim.”
- “He is potent” unless the examiner specifically assessed and documented it.
A normal genital examination does not prove or disprove sexual activity. It only means no abnormal genital finding was observed at the time of examination.
The standard FMT approach is to document identity and history, examine clothing and injuries for signs of struggle, assess the genitalia, and collect relevant samples with correct labelling and chain of custody. A normal genital examination and absence of stains cannot by themselves rule out alleged sexual contact. The Essentials of Forensic Medicine and Toxicology by K. S. Narayan Reddy and O. P. Murty, examination of accused of sexual offence section.