27/07/2025
MEDICAL BOARD
(LATEST JUDGEMENT)
2017 LHC 1564
ORDER SHEET
LAHORE HIGH COURT LAHORE
JUDICIAL DEPARTMENT
Crl. Misc. No.953-M/2017
Muhammad Rizwan. Vs. The State, etc.
07.04.2017 Mr. M. Khawar Kalim, Advocate for the petitioner.
Mr. Shahzad Saleem Warraich, Advocate for
respondents No. 2 and 3.
Dr. Ghulam Ghazi, CMO, Jinnah Hospital,Lahore.
Mr. Haroon-ur-Rasheed, D.D.P.P alongwith Badar,S.I.
Through the instant petition, the petitioner has called in question the legality of orders dated 26.09.2016 and 16.12.2016 passed by learned Judicial Magistrate Sec: 30, Lahore, through which he turned down the request of the petitioner for the constitution of medical board to re-examine the injured Witnesses, as well as of learned ASJ, Lahore, whereby he proceeded to dismiss the revision petition on account of lack of jurisdiction.
2. Briefly stated, the facts which led to the filing of the instant petition are to the effect that the petitioner is an accused in case FIR No.274/16 under sections
302/324/148/149 PPC of Police Station Millat Park, Lahore, which stands registered on the complaint of one Mehmood Ali. According to the facts incorporated therein, it is alleged that the petitioner and his co-accused, while armed with deadly weapons launched a murderous assault on the complainant and the witnesses, which resulted into the death of Noman Ali whereas two
persons namely Shahzada Saleem alias Prince and Kazim received firearm injuries on the different parts of their bodies. In this backdrop, the petitioner approached the Area Magistrate for the medical reexamination of Syed Kazim Hussain and Muhammad Shahzada Saleem. This application was turned down by the learned Area Magistrate vide order dated 26.09.2016. The order of the
learned Area Magistrate was assailed before the learned Additional Secession Judge, Lahore through a revision petition filed under section 435/439-A Cr.P.C. This revision petition was dismissed by the ASJ, Lahore, vide order dated 16.12.2016 as being not maintainable.
3. Learned counsel for the petitioner submits that the both impugned orders were passed by the respective courts, in mechanical manner without considering the facts and circumstances of the case. It is further added
that Syed Kazim Hussain (respondent No.2) and Muhammad Shahzad Saleem (respondent No. 3)managed to obtain their respective Medico Legal Certificates on the basis of false and fabricated injuries and that too in connivance with the medical officer; that in particular the injury on the neck of Syed Kazim Hussain (respondent No.2) can in no manner be termed as firearm injury; that even the MLC of Muhammad Shahzada Saleem (respondent No.3) is dubious in nature
as the entry wound is with averted margin, whereas its margin should have been inverted; that the purpose of the medical examination is to provide a fair data to the court, who is assigned the task of deciding the case and lastly contended that in case the two injured will not be re-examined, it is likely to cause great prejudice to the case of the petitioner.
4. On the other hand, learned counsel for the respondents No. 2 and 3 strongly controverted the arguments advanced by the learned counsel for the petitioner and submitted that the impugned orders passed by both the courts below are in accordance with the law and facts of the case that the instant petition is only
focused at frustrating the process of investigation as well as trial; that even otherwise, no such medical re-examination can be conducted after the lapse of period of twenty days; that the circumstances of the case are so clear that there is no need of the constitution of any medical board for the purposes of re-examination.
5. Arguments heard; record perused.
6. It evinces from the record as well as from the arguments advanced by both the parties that the instant petition is aimed at subjecting the injuries of Syed Kazim and Muhammad Shahzada Saleem, for re-examination through a medical board. According to the story incorporated in the crime report, Syed Kazim received a firearm injury on the back of his neck. The perusal of his MLC shows that the doctor observed two injuries on the back of his neck. Out of these injuries one is an entry wound whereas the other one is an exit. The two wounds are separated by each other hardly by an inch. It further divulges from the MLC that no internal organ of Syed Kazim Hussain (respondent No.2) was damaged. This aspect alone, is sufficient to cast doubt about the genuineness of the opinion, expressed by the Medical Officer, warranting interference of this Court to pass an appropriate order for the re-examination of the injured
witnesses.
7. This Court is not oblivious of the fact that the constitution of the medical board for the purposes of re-examination of a witness is not an order which is to be passed in routine and that too blindly and mechanically.Sometime, such applications are moved to frustrate the process of law or to delay the procedure of investigation and trial. Similarly, at times it is noticed that either due to lack of knowledge or experience or on account of other considerations, the correct medical data is not brought on record. Similarly, this Court is also well
aware of the fact that the evil of self-inflicted and fabricated injuries have also penetrated deep, into the criminal justice system. The Courts, by virtue of their
very purpose of constitution, are obliged to be at their toes, while dealing with such like cases. Due to these reasons, Syed Kazim Hussain who was in attendance before the Court, was also tentatively examined. Though, there are two wounds on the back of his neck, each separated from other hardly by a single inch. I have also taken the pain to go through the MLC issued in support
of injuries on the body of Syed Kazim Hussain. It evinces that certain columns, which were of immense importance were left blank. In this regard, the column meant for the date of discharge of the patient can be seen. The perusal
of the MLC further gives a reflection that the injury caused no damage to any internal organ in the neck. Such aspects reflect that the possibility of the injury not being through a firearm, cannot be ruled out.
8. The medico legal aspect of a criminal case is the most sensitive task, assigned to a medical officer. On the report prepared by a doctor comprising upon an incorrect data an innocent person can be hanged and similarly a guilty person can escape from the gallows. At the time of the final decision, the court is completely dependent on the medical data, furnished by a doctor. In the absence of exceptional circumstances, much weight is attached to the evidence of the doctor. The doctor is normally considered to be a witness, not of a party but of truth. A doctor, by bringing on record a fair medical data, in fact helps the court in administering justice and contributes his humble bit towards providing justice to the aggrieved segment of the society. It will not be wrong to say that an expert witness is like a bridge on the road which leads to the ultimate destination of the sacred and sensitive functions of administration of Justice.
9. I have also carefully, attended to the objection raised by the learned counsel for respondents No. 2 and 3, so far as it relates with the time period stipulated for the re-examination of the injured. According to the record, the petitioner approached the learned Area Magistrate through an order dated 29.07.2016 which is a reflection of the fact that he was vigilant and prompt in raising objection regarding the injuries being fabricated. Admittedly, it is enunciated in the notification No. SO(H&D) 6-1/90 issued by Government of the Punjab,
Health Department dated 12.02.1990 that an order for the medical re-examination may be passed within three weeks of the first examination. However, the perusal of a subsequent notification No. SO(H&D) 6-/90 dated
08.02.1992 shows that even medical re-examination orders can be passed beyond the period of three weeks. For ready reference, both the notifications are being reproduced below: -
1st Notification
No. SO(H&D) 6-1/90
GOVERNMENT OF THE PUNJAB
HEALTH DEPARTMENT
Dated the 12th February, 1990
To
The All District Magistrates
in the Punjab.
Subject: CONSTITUTION OF SPECIAL MEDICAL
BOARD FOR RE-EXAMINATION/RE-
POSTMORTEM.
Government has been constituting various medical boards for 2nd opinion from time to time. It has been noticed that this practice not only consumes lengthy procedures but also leads to unnecessary litigation. It has, therefore, been decided to constitute the following permanent District Board for re-examination/re-postmortem for
2nd medical opinion. The judicial officers may be advised to approach the relevant Boards whenever required. However, such orders may be passed within three weeks of the first examination. The opinion of the respective
Boards shall be final. The Board shall only examine such cases on the judicial orders of the District Magistrate.DISTRICT LEVEL. Medical Superintendent, D.H.Q. Hospital (concerned District). Chairman
(2). District Health Officer (concerned District) Member
(3). Surgeon (D.H.Q) (concerned District)Member
FOR LAHORE
Surgeon Medico-Legal Punjab Chairman
Senior Assistant Professor of Forensic Medicine, King Edward
Medical College, Lahore. Member
District Health Officer, Lahore. Member
(Sd.)
Dr. Abdul Raouf,
Section Officer
(H&D)
For secretary
2nd Notification:
No. SO(H&D) 6-/90
GOVERNMENT OF THE PUNJAB
HEALTH DEPARTMENT
Dated the 8
th February, 1992
To
The All District Magistrates in the Punjab.
Subject: CONSTITUTION OF SPECIAL MEDICAL
BOARD FOR RE-EXAMINATION/RE-POSTMORTEM.
“In continuation to this department letter of even number dated 12-2-1990 on the above subject.
It is clarified that if the re-examination orders have been passed by the District Magistrate concerned as a Judicial Officer after three weeks of first examination they will supersede instruction
issued by Health Department”.
(Sd.)
Section Officer (H&D)
For secretary
It divulges from the two notifications, mentioned above that there is no absolute bar or restriction for the constitution of medical board for the purposes of medical re-examination of an injured person.
11. It is important to mention here that the Government of
Punjab, through a Gazette Notification No. SO(H&D)5-
5/2002 dated 05.02.2003 further amended the procedure for
revamping of medico legal work in Punjab and laid down a
three tier structure. It would be appropriate to reproduce the
relevant Gazette Notification which is as under: -
Gazette of Punjab, Part I,
5th February, 2003
No. SO(H&D) 5-5/2002, dated 05.02.2003.--- Pursuant to the orders of the Governor following amendments in procedure are hereby ordered for revamping of medico legal work in Punjab with immediate effect.
1. A “Three Tier Structure” for the conduction of medico legal work has been established.
(a). FIRST TIER
The initial medico legal examination shall be carried out by the Medical Officers/Women Medical Officers at the Rural Health Centres, Tehsil
Headquarters Hospitals, District Headquarters Hospitals and at Teaching Hospitals.
(b). SECOND TIER
The District Standing Medical Boards, comprising the following shall act as First Appellate Authority in all the 34 District of Punjab:Medical Superintendent, DHQ Hospital Chairman District Officer Health Member Surgeon Member
These Boards will conduct re-examination if the decision of the first medico legal examiner is challenged and also for examination of alleged cases
of police torture. For District Lahore District Standing Medical Board will be established at Government Mian Muhammad Munshi, DHQ, Hospital-I.
(C) THIRD TIER
The role of Surgeon medico legal, the Punjab shall only be Appellate and Supervisory. He shall be the Chairman of Provincial Standing Medical Board,
which shall be the final Appellate Authority against the decisions of District Standing Medical Boards. Other members of the Provincial Standing Medical
Board (PSMB) will be the Associate/Assistant Professor Forensic Medicine of the Regional Medical College and the Medical Superintendent of one of the attached Teaching Hospital. The Board can co-opt any other member when required.
12. I have also perused the report submitted on behalf of Deputy Superintendent of Police, Organized Crime (CIA) City Division, Lahore, who is a part of the process of the investigation of the instant case. It divulges from
his report that even it is desired by the police department,for the purposes of conclusion of fair investigation that the two injured namely Syed Kazim Hussain and Shahzad Saleem-ue-Rehman alias Prince be re-examined. An in-
depth scrutiny of his report reveals that he requested that the medical re-examination be done through Provincial Medical Board, instead of District Standing Board. I deem it appropriate to clarify the difference between the
District Standing Medical Board and the Provincial Standing Medical Board. These two terms are the creation of the Gazette Notification No. SO(H&D)5-
5/2002 dated 05.02.2003 (mentioned supra). According to the forgoing notification, the medical examination is categorized at three levels. The initial or first level of medico legal examination is to be carried out by the medical officer at Rural Health Centres (RHC), Tehsil Headquarters Hospital (THQ) or at District Headquarters Hospital (DHQ). The opinion expressed at first level can be challenged before the District Standing Medical Boards, which is described as second tier/level. The opinion of the District Medical Board can be
challenged before the Provincial Standing Medical Board in its appellate or supervisory jurisdiction, described as third or ultimate tier/level. In this backdrop,I am of the view that instead of referring the matter to the third tier i.e. the Provincial Standing Medical Board, the matter may be placed before the second tier/level i.e. District Standing Medical Board. Such an approach is
adopted keeping in view the provision of the Article 10-A of the Constitution of Islamic Republic of Pakistan which makes the “due process” the fundamental right of every subject of the State.
13. For what has been discussed above, while setting aside the impugned orders dated 26.09.2016 and 16.12.2016, the instant petition is allowed and resultantly the Medical Superintendent, Mian Munshi Hospital, DHQ Lahore is directed to constitute a medical board comprising upon Senior Members having requisite expertise on the subject and to re-examine, both the injured witnesses namely Shahzad Saleem alias Prince and Syed Kazim Hussain, on or before 15th of May, 2017. It is expected that while examining the two injured
witnesses, they will offer their opinion strictly in accordance with the medical jurisprudence relating to human anatomy.
(Ch. Abdul Aziz
Judge.