State Consumer Disputes Redressal Commission
Abhijeet Singh Tomar vs Dr. Nilesh Pagariya & Ors. on 21 July, 2023
Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
NRrhlx<+ jkT;
miHkksDrk fookn Áfrrks"k vk;ksx] iaMjh] jk;iqj lafLFkr fnukad&03-10-2018 vafre rdZ fnukad&14-07-2023 vkns'k fnukad&21-07-2023- ifjokn izdj.k Øekad&lhlh/2018/47 vfHkthr flag rksej firk Lo- vf[kysUnz flag rksej] mez&42 o'kZ] fuoklh&Mh&4] vofu fogkj] nyny flouh] eksok] jk;iqj ¼N-x-½] eks- ua-&6260788192 ¼}kjk Jh fouksn iz/kku] vf/koDrk okLrs ifjoknh½
------------------------- ifjoknh-
fo:)
1- MkW- uhys"k ixkfj;k ]
Jh d`'.kk gkWfLiVy] esu jksM] U;w jktsUnz uxj] jk;iqj ¼N-x-½ 2- lapkyd@l{ke vf/kdkjh] Jh d`'.kk gkWfLiVy] esu jksM] U;w jktsUnz uxj] jk;iqj ¼N-x-½ ¼}kjk&Jh vkj- ds- Hkkoukuh] vf/koDrk okLrs fo:) i{kdkj dz-&1 ,oa 2½
----------fo:) i{kdkj dz-&1 ,oa 2-
3- l{ke vf/kdkjh@egkizca/kd] ;wukbVsM bafM;k ba";ksjal daiuh fyfeVsM] ,e- vks- vkWfQl 44@2] ppZ jksM Hkksxy] fu;j yktir uxj] lkmFk fnYyh&110014 4- l{ke vf/kdkjh@egkizca/kd] ;wukbVsM bafM;k ba";ksjal daiuh fyfeVsM] ,e- vks- vkWfQl 44@2] ppZ jksM Hkksxy] fu;j yktir uxj] lkmFk fnYyh&110014 ¼}kjk&Jh ih- ds- ikWy] vf/koDrk okLrs fo:) i{kdkj dz-&3 ,oa 4½
----------fo:) i{kdkj dz-&3 ,oa 4- le{k% ekuuh; U;k;ewfrZ Jh xkSre pkSjfM+;k] v/;{k-
ekuuh; Jh xksiky panz "khy] lnL;-
ekuuh; Jh izeksn dqekj oekZ] lnL;-
vafre rdZ esa mifLFkr& ifjoknh dh vksj ls Jh fouksn iz/kku] vf/koDrkA fo:) i{kdkj dz-&1 ,oa 2 dh vksj ls Jh vkj- ds- Hkkoukuh] vf/koDrkA fo:) i{kdkj dzekad&3 ,oa 4 dh vksj ls Jh ih- ds- ikWy] vf/koDrkA Dismissed Page 1 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
vkns'k ¼ }kjk%& izeksn dqekj oekZ] lnL; ½ Ikfjoknh us ;g ifjokn miHkksDrk laj{k.k vf/kfu;e] 1986 dh /kkjk&17 ds varxZr fo:) i{kdkjx.k }kjk fpfdRldh; mis{kk ,oa ykijokgh dj lsok esa deh fd;s tkus ds QyLo:Ik fo:) i{kdkj dz-&2 ls xyr vkWijs"ku dk fy, x, fcy jkf"k&1]60]000@&¼,d yk[k lkB gtkj :Ik;s½] jk;iqj ls eqacbZ vkus&tkus ls orZeku rd 06 ckj izR;sd ckj dk 30]000@&¼rhl gtkj :Ik;s½ dqy&1]50]000@&¼,d yk[k ipkl gtkj :Ik;s½] tuojh 2017 ls tuojh 2018 rd fofHkUu gkWfLiVyksa esa bZykt] nokbZ;ka o VsLV dk [kpZ 12]00]000@&¼ckjg yk[k :Ik;s½] ifjoknh ds firk dh e`R;q gks tkus ls mRiUu fjDrrk o ifjokj ds lnL;ksa dks xaHkhj ekufld {kfr gksus ds dkj.k 10]00]000@&¼nl yk[k :Ik;s½] okn O;; ds :Ik esa 20]000@&¼chl gtkj :Ik;s½ rFkk vU; vuqrks'k fo:) i{kdkjx.k ls la;qDr ;k i`Fkd&i`Fkd fnyk;s tkus gsrq izLrqr fd;k gSA 02- ifjoknh dk ifjokn laf{kIr eas bl izdkj gS fd ifjoknh ds firk us fnlEcj 2016 esa vius ck,a tcM+s ds vk[kjh fgLls dk ck;ksIlh djok;k Fkk ftlesa nkarksa esa dSalj ds y{k.k Fks rc ifjoknh ds firk MkW- uhys"k ixkfj;k ds ikl x, vkSj nkarksa dk ijh{k.k djok;k ,oa Hkokuh Mk;XuksfLVd esa fnukad&19- 01-2017 dks lh- Vh- Ldsu djok;k ftlesa nkarksa esa o Lymph Notes esa dSalj fMVsDV gqvkA fo:) i{kdkj dz-&1 us ifjoknh ds firk dks Hkjkslk fnyk;k fd og nkarksa o Lymph Notes dk vkWijs"ku djds lHkh bUQsDVsM fV"kq Dyh;j dj nsxk ftl ij fo"okl djrs gq, vkWijs"ku dh btktr nh vkSj fnukad&23-01- 2017 dks vkWijs"ku gqvkA vkWijs"ku ds ckn ifjoknh ds firk dk tcM+k dkV fn;k x;k ,oa tcM+k vius LFkku ls vkxs vk x;k vkSj dke djuk can dj fn;k ftlls ifjoknh ds firk cksyus o ,d gkFk ls fy[kus ls dkaius yxs vkSj BqM~Mh Dismissed Page 2 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
ds uhps ls il vkus yxk o dSalj cxyksa esa] xys ds uhps da/ks rd QSy x;kA MkW- uhys"k ixkfj;k vkUdksykth ltZu ugha gS ,oa dSalj vkWijs"ku djus dh fMxzh izkIr ugha gS] ysfdu blds ckotwn Hkh mlds }kjk xyr rjhds ls vkWijs"ku fd;k x;k ftlls dSalj "kjhj ds vU; Hkkxksa esa QSy x;k ,oa ifjoknh ds firk dh ,d vka[k uhps gks xbZ ftlls mldh vka[k [kqy ugha ikrh FkhA ifjoknh ds firk dh BqM~Mh ds uhps dkVdj fQj ls vkWijs"ku fd;k x;k] fdarq il vkuk de ugha gqvk rc ifjoknh ds firk dks VkVk eseksfj;y gkWfLiVy] eaqcbZ tkuk iM+k tgka ij mldk bZykt py jgk Fkk tgka izR;sd ekg vius lgk;d ds lkFk ¶ykbZV ls eqacbZ vkuk&tkuk iM+rk Fkk tgka ifjoknh ds firk dh rjg&rjg ds VsLV gksrs Fks vkSj dsoy nokvkas esa e`R;q iwoZ 10]00]000@&¼nl yk[k :Ik;s½ dk [kpZ vk pqdk gS rFkk izR;sd ckj vkus&tkus esa 30]000@&¼rhl gtkj :Ik;s½ [kpZ gksrk FkkA fo:) i{kdkjx.k }kjk fd, x, xyr bZykt ls ifjoknh ds firk dk thou ladV esa iM+ x;k ftlls os lqu ugha ldrs Fks] u py ldrs Fks o ns[kus esa Hkh vka[kksa ij LVªsl iM+rk FkkA fo:) i{kdkj dz-&1 }kjk dku ds ikl ls fV"kq fudkyus ds dkj.k [kkyh txg cu xbZ Fkh vkSj ogka ikuh Hkjus yxk rFkk ltZjh djus ds dkj.k BqM~Mh esa Nsn gks x, Fks ftlls ejht }kjk dqN Hkh [kk;s&ih;s tkus ls og BqM~Mh esa cus Nsnksa ls fudy tkrk FkkA tuojh 2017 ls vDVwcj 2017 rd yxHkx 15]00]000@&¼iUnzg yk[k :Ik;s½ [kpZ djus ds ckn Hkh ifjoknh ds firk dks dksbZ vkjke ugha feyk] cfYd os T;knk ijs"kkuh esa vk x,A fo:) i{kdkjx.kksa ds gkWfLiVy esa ,slh lqfo/kk ugha Fkh ftlls dSalj dk bZykt gks ldrk FkkA fnukad&23-01-2017 dks xyr vkWijs"ku djus ds ckn fo:) i{kdkj dz-&1 }kjk fnukad&12-02-2017 dks ifjoknh ds firk dks esfMdy dkWyst ds jsfM;ksFksjsih rFkk dheksFksjsih ds bZykt ds fy, vEcsMdj gkWfLiVy fjQj dj fn;kA Dismissed Page 3 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
03- fo:) i{kdkj dz-&1 ,e- Mh- ,l- vkSj Qsf"k;y IykfLVd ltZu o eSfDlyksQfs "k;y ltZu gS o dSalj ds vkWijs"ku dh ;ksX;rk ugha j[krk gS fQj Hkh nkar o Lymph Notes ds dSalj dk vkWijs"ku dsoy ykHk izkIr djus ds fy, fd;k x;k] tcfd dSalj dk vkWijs"ku djus dh ;ksX;rk dsoy vkUdksykthLV gh j[krs gSaA fo:) i{kdkj dz-&1 ds xyr bZykt ls {kqC/k gksdj ifjoknh ds firk vEcsMdj gkWfLiVy] jk;iqj o VkVk eseksfj;y gkWfLiVy] eaqcbZ o dbZ dSalj Lis"kfyLV ds ikl o iSFkksykWth esa ijh{k.k djokrs jgs ,oa fnukad&07-01-2018 dks ifjoknh ds firk dh e`R;q ckykth gkWfLiVy esa gks xbZA ifjoknh ds firk dks ;fn mfpr dSalj VªhVesVa gkWfLiVy esa fjQj fd;k tkrk rks os LoLFk vkSj lkekU; thou thrs] D;ksafd dSalj dh "kq:okrh LVst esa mldk funku vklkuh ls gks tkrk o lekU;r;k ;fn iw.kZ :Ik ls Bhd Hkh u gksrs rks bruh leL;k fodjky ugha gksrh ftlls fd mudh e`R;q gks tkrhA bl izdkj fo:) i{kdkj dz-&1 ,oa 2 }kjk mis{kk ,oa ykijokghiwoZd bZykt o vkWijs"ku fd;s tkus ls mudh e`R;q gks xbZ ftlds dkj.k ifjoknh dks ;g ifjokn ykus dh vko";drk iM+h gSA vr% ifjoknh dk ifjokn Lohdkj dj dafMdk&1 esa of.kZr vuqlkj vuqrks'k fnyk;s tkus dk fuosnu fd;k gSA 04- fo:) i{kdkj dzekad&1 ,oa 2 dh vksj ls fyf[kr dFku izLrqr dj ifjokn ds rF;ksa dks vLohdkj djrs gq, ;g vfHkopu fd;k gS fd ifjoknh ds firk dk lh- Vh- Ldsu djok;k x;k Fkk vkSj mlesa dSalj gksuk ik;k x;k FkkA ifjoknh ds firk dks bUQsDVsM fV"kq ugha] cfYd dSalj Fkk ftldk bZykt fo:) i{kdkj dz-&1 ,oa 2 ds ;gka laHko gSA ejht ,oa muds ifjtuksa dks ;g Li'V :Ik ls crk;k x;k Fkk fd dSalj ds bZykt esa tcM+k dkVuk iM+rk gS vkSj mlds dkj.k mUgsa Hkkstu djus esa fnDdr vk,xh rFkk cksyus esa Hkh fnDdr vk ldrh gS ,oa mudh lgefr ds Ik"pkr~ gh vkWijs"ku fd;k x;k FkkA dSalj Lymph Notes Dismissed Page 4 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
tks fd xys esa gksrs gSa mlesa tk pqdk Fkk ftldh iqf'V lh- Vh- Ldsu ls dh xbZ Fkh vkSj blh dkj.k xys dk Hkh vkWijs"ku fd;k x;k FkkA fo:) i{kdkj dz-&1 ,d Maxillo Facial Surgeon gSa tks fd dSalj dh ltZjh dj ldrs gSaA vkWijs"ku ds Ik"pkr~ tks bUQsD"ku vkrk gS mldks de djus ds fy, ,d NksVh ltZjh dh xbZ FkhA dSalj ,d cM+h ltZjh gksrh gS ftlesa tcM+k fudkyk tkrk gS ftlds dkj.k ejht dks [kkus&ihus o cksyus esa fnDdr gksrh gS ftls ejht dks iwjh rjg ls le>k fn;k x;k FkkA ejht Lo;a bZykt vk/ks esa NksMd + j Lo;a dh ethZ ls nwljs MkWDVj ds ikl x;k FkkA ejht dk bZykt fo:) i{kdkj dz-&1 ,oa 2 ds }kjk varjkZ'Vªh; ekinaMksa ds fglkc ls fd;k x;k FkkA jsfM;ksFksjsih vkSj dheksFksjsih dk bZykt dSalj esa vR;ar vko";d gS vkSj mijksDr tkudkjh ejht dks igys gh ns nh xbZ FkhA fo:) i{kdkj dz-&1 ,oa 2 }kjk fdlh Hkh rjg ls xyr bZykt ugha fd;k x;k gSA ifjoknh ds }kjk fo:) i{kdkj dz-&1 ,oa 2 ij xyr vkjksi yxk;s x;s gSa] tcfd laiw.kZ bZykt ifjoknh ,oa mlds ifjtuksa dh lgefr ls fd;k x;k Fkk vkSj fo:) i{kdkj dz-&1 ,oa 2 }kjk fdlh Hkh rjg ls bZykt esa ykijokgh ugha dh xbZ gSA ifjoknh] i{kdkj dz-&1 ,oa 2 ls dksbZ vuqrks'k izkIr djus dk vf/kdkjh ugha gSA vr% ifjokn fujLr fd;s tkus dk fuosnu fd;k gSA 05- fo:) i{kdkj dz-&3 ,oa 4 dh vksj ls fyf[kr dFku izLrqr dj ;g vfHkopu fd;k x;k gS fd izksQsluy baMfs efuVh MkWDVlZ ikWfylh ;fn fdlh fpfdRld@fpfdRlky; ds }kjk chek daiuh ls izkIr fd;k tkuk vkSj ,sls ikWfylh dk izknqHkkZo o izHkko gksuk izekf.kr fd;k tkos rks chek daiuh ds fo:) nkok laLFkkiu gsrq dsoy chek /kkjd gh nkf;Rok/khu gksxk] u fd dksbZ vU; i{kdkjA fdlh chfer fpfdRld@fpfdRlky; dh ykijokgh gksuk fdlh U;k;ky; }kjk fof/kd izfdz;k ds rgr fl) fd, fcuk vkSj chek /kkjd ds Dismissed Page 5 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
fo:) {kfriwfrZ djus gsrq vknsf"kr fd, fcuk dksbZ nkok fo:) i{kdkj dz -&3 ,oa 4 ds fo:) lafLFkr ugha fd;k tk ldrk gSA ifjoknh ,oa fo:) i{kdkj dz&3 ,oa 4 ds e/; chek lafonk mn~Hko u gksus ds dkj.k ifjoknh] fo:) i{kdkj dz-&3 ,oa 4 dk **miHkksDrk** ugha gSA QyLo:Ik ifjoknh dk ifjokn fo:) i{kdkj dz-&3 ,oa 4 ds fo:) izpyu ;ksX; ugha gSA fo:) i{kdkj dz-& 3 ,oa 4 ds fo:) lsok esa dksbZ fuEurk ;k =qfV fd;k tkuk ifjoknh }kjk ifjokn&i= esa u rks mYysf[kr fd;k x;k gS vkSj u gh fl) fd;k x;k gSA ifjokn&i= esa MkW- uhys"k ixkfj;k ,oa Jh d`'.kk gkWfLiVy dk nks'k gksuk ifjoknh us mYysf[kr fd;k gS] tcfd fo:) i{kdkj dz&1 ,oa 2 dks fo:) i{kdkj dz-&3 ,oa 4 ls fof"k'V chek ikWfylh ds rgr chek vkofjr fd;k tkuk iq'V lk{; ls fl) ugha fd;k x;k gSA Qyr% fo:) i{kdkj dz-&1 ,oa 2 dh =qfV ds fufeRr dksbZ Hkh HkjikbZ gsrq fo:) i{kdkj dz -&3 ,oa 4 ftEesnkj ugha gSA tkucw>dj chfer fpfdRld@fpfdRlky; ds }kjk dksbZ vkijkf/kd d`R; fd;k tkuk ,oa fdlh fof/kd izko/kku dk ikyu u fd;k tkuk n`'VO; gks vkSj fdlh nkok dks jksdus gsrq mfpr mik; u fd;k x;k gks rks chek lafonk fl) djus ek= ls ,sls fdlh Hkh {kfr ds fy, chek daiuh {kfriwfrZ djus gsrq mRrjnk;h ugha gksxh ftldk mYys[k vkbZ- vkj- Mh- ,- ds ;kstukuqlkj ikWfylh dh viotZu DykWt esa fof"k'Vr% nf"kZr gksrk gSA vr,o chek lafonk fl) gksus ij Hkh mDr viotZu ds vuqlkj fo:) i{kdkj dz-&3 ,oa 4 {kfriwfrZ djus gsrq mRrjnk;h ugha gSaA ifjoknh vFkok jksxh vf[kysUnz flag rksej us dHkh Hkh dksbZ lsok fo:) i{kdkj dz-&3 ,oa 4 ls izkIr ugha fd;k gS vkSj u gh fo:) i{kdkj dz-&1 ,oa 2 us jksxh dk nks'kiw.kZ bZykt fd;k gSA fo:) i{kdkj dz-&3 ,oa 4 dksbZ Hkh jkf"k ifjoknh ds i{k esa Hkqxrku djus gsrq mRrjnk;h ugha gSA vr% ifjoknh dk ifjokn lO;; fujLr fd;s tkus dk fuosnu fd;k x;k gSA Dismissed Page 6 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
06- ifjoknh dh vksj ls vius i{k leFkZu esa ifjoknh ,oa Jherh vk"kk flag rksej o vfnfr flag rksej dk "kiFk&i= ,oa lwph vuqlkj nLrkost izLrqr fd;k gSA 07- fo:) i{kdkj dz-&1 ,oa 2 dh vksj ls vius i{k leFkZu esa fo:) i{kdkj dzekad&1 MkW- uhys"k ixkfj;k] Jh eksguyky vxzoky] Mk;jsDVj] d`'.kk gkWfLiVy] MkW- Lusgy calksM]+ izksQslj ,.M dalYVsaV vksjy ,.M esDlhyksVsf"k;y ltZu ,oa MkW- jk/ks";ke pkSjfl;k] ch- Mh- ,l-] ,e- Mh- ,l-] Jh esfMlkbZu gkWfLiVy dk "kiFk&i= ,oa lwph vuqlkj nLrkost izLrqr fd, gSaA 08- fo:) i{kdkj dz-&3 ,oa 4 dh vksj ls vius i{k leFkZu esa Jh tujatu iqjksfgr] ofj'B e.My izca/kd dk "kiFk&i= ,oa lwph vuqlkj nlrkost izLrqr fd, gSaA 09- ifjoknh ,oa fo:) i{kdkj dzekad&1 ,oa 2 rFkk fo:) i{kdkj dz-&3 ,oa 4 ds fo)ku vfHkHkk'kdx.k us vius ifjokn ,oa fyf[kr dFku ds vuq:Ik gh fyf[kr rdZ ,oa ekSf[kd rdZ izLrqr fd, gSaA 10- ifjoknh dh vksj ls vius rdZ ds leFkZu esa Civil Appeal Nos.-227- 228/2019 Arun Kumar Manglik Vs. Chirayu Health and Medicare Private Ltd. & Anr. On 09 January 2019 (SC) dk voyacu fy;k gSA 11- fo:) i{kdkj dz-&1 ,oa 2 dh vksj ls vius rdZ ds leFkZu esa ekuuh; loksZPp U;k;ky; }kjk Civil Appeal No. 5991/2002 Ramesh Chandra Agrawal Vs. Regency Hospital Ltd. & Ors. On 11 September, 2009, Civil Appeal No. 3541/2002 Martin F. D'Souza Vs. Mohd. Ishfaq on 17 February 2009, Civil Dismissed Page 7 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
Appeal No. 6168/2008 Dr. C. P. Sreekumar, M.S. (Ortho) Vs. S. Ramanujam on 01 May 2009, Appeal (Crl.) 144-145/2004 Jacob Mathew Vs. State of Punjab & Anr. on 05 August 2005, Kusum Sharma & Ors. Vs. Batra Hospital & Medical Research Centre & Ors. On-10 February 2010, Civil Appeal No. 7380/2009 Dr. Harish Kumar Khurana Vs. Joginder Singh & Ors. With Civil Appeal No. 8118/2009 & 6933/2009 on-07 September 2021, Civil Appeal No. 1658/2010 Bombay Hospital and Medical Research Centre Vs. Asha Jaiswal & Ors. On-30 November 2021, Criminal Appeal No. 1191-1194/2005 Malay Kumar Ganguly Vs. Dr. Sukumar Kukherjee and Ors. On-07 August 2009, ,oa ekuuh; jk'Vªh; vk;ksx }kjk First Appeal No. 299/2006 Ms. Swati Prakash Patil Vs. Dr. Kiran Rajaram Vansare on-26th July 2012 dk voyacu fy;k gSA 12- geus mHk;i{k ds fo)ku vfHkHkk'kdx.k ds vafre rdZ Jo.k fd, rFkk fyf[kr rdZ ,oa vfHkys[k dk voyksdu fd;kA 13- izdj.k ds mfpr fujkdj.k gsrq fuEufyf[kr fopkj.kh; iz"u mn~Hkwr gksrs gSa%& 1- D;k ifjoknh] fo:) i{kdkj dz-&3 ,oa 4 dk **miHkksDrk** gS? 2- D;k fo:) i{kdkj dz-&1 ,oa 2 }kjk ifjoknh ds firk ds mipkj esa fpfdRlh; mis{kk ,oa ykijokgh dj lsok esa dksbZ deh dh xbZ gS?
3- D;k ifjoknh] fo:) i{kdkjx.k ls okafNr vuqrks'k izkIr djus dk vf/kdkjh gS?
14- izdj.k ds leqfpr fujkdj.k gsrq leLr fopkj.kh; iz"uksa dk fujkdj.k ,d lkFk fd;k tk jgk gSA 15- izdj.k esa mHk;i{kksa dh vksj ls izLrqr vfHkopu] "kiFk&i= ,oa nLrkostksa ls ;g rF; vfookfnr gS fd fo:) i{kdj dz-&1 ,oa 2 ds laLFkku esa Dismissed Page 8 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
fnukad&23-01-2017 dks ifjoknh ds firk Lo- vf[kysUnz flag rksej dk fyEQ uksVl dk vkWijs"ku gqvk vkSj vkWijs"ku Ik"pkr~ Lo- vf[kysUnz flag rksej dk tcM+k dke djuk can dj fn;k vkSj cksyus o ,d gkFk ls fy[kus esa dkaius yxk rFkk BqM~Mh ds uhps il vkus yxk o dSalj xys ds uhps da/ks rd QSy x;k ftldk bZykt fofHkUu dSalj fo"ks'kK ,oa VkVk eseksfj;y gkWfLiVy] eaqcbZ esa pyk ,oa fnukad&07-01-2018 dks ckykth gkWfLiVy] jk;iqj esa bZykt ds nkSjku vf[kysUnz flag rksej dh e`R;q gks xbZA 16- izdj.k esa fo:) i{kdkj dz-&3 ,oa 4 dh vksj ls ifjoknh }kjk izLrqr ifjokn ij eq[; :Ik ls ;g izfrjks/k dj vk{ksi fy;k x;k gS fd ifjoknh] miHkksDrk laj{k.k vf/kfu;e] 1986 dh /kkjk&2 ¼1½ ¼Mh½ ds varxZr fo:) i{kdkj dz-&3 ,oa 4 dk **miHkksDrk** ugha gSa vkSj bl dkj.k izLrqr ifjokn fo:) i{kdkj dz-&3 ,oa 4 ds fo:) bl vk;ksx ds le{k izpyu"khy ugha gSA bl laca/k esa ge ;g ikrs gSa fd ifjoknh ds firk Lo- vf[kysUnz flag rksej dk fo:) i{kdkj dz-&1 ,oa 2 ds laLFkku esa fo:) i{kdkj dz-&1 }kjk fyEQ uksVl dk vkWijs"ku gqvk ftlesa ifjoknh ds firk ds bZykt dk 1]60]000@&¼,d yk[k lkB gtkj :Ik;s½ dk fcy cuk Fkk ftls fo:) i{kdkj dz-&1 ,oa 2 }kjk vius fyf[kr dFku dh dafMdk&15 esa Lohdkj fd;k x;k gSA fo:) i{kdkj dz-&1 ,oa 2 ds laLFkku dk chek fo:) i{kdkj dz-&3 ,oa 4 }kjk izksQs"kuy baMfs efuVh MkWDVlZ ikWfylh ds varxZr fd;k x;k gS tks izn"kZ Mh&1 ls Mh&3 ls izekf.kr gS] fdarq ifjoknh ds firk }kjk fo:) i{kdkj dz-&3 ,oa 4 dks dksbZ jkf"k ;k izhfe;e dk Hkqxrku ugha fd;k x;k gS blfy, ifjoknh] fo:) i{kdkj dz-&3 ,oa 4 dk **miHkksDrk** ugha gS] fdarq ;fn fo:) i{kdkj dz-&1 ,oa 2 ds fo:) fpfdRldh; mis{kk ,oa ykijokgh izekf.kr gksrk gS rks ,slh fLFkfr esa fo:) i{kdkj dz-&1 ,oa 2 dk fo:) i{kdkj dz-&3 ,oa 4 ds e/; gq, chek vuqca/k ds vuqlkj {kfriwfrZ gsrq chek ikWfylh ds varxZr nkf;Rok/khu gksxk] D;ksfa d fo:) Dismissed Page 9 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
i{kdkj dz-&3 ,oa 4 }kjk tkjh ikWfylh izksQ"s kuy baMsfefuVh MkWDVlZ ikWfylh gS ftlds varxZr chek daiuh fo:) i{kdkj dz-&1 ,oa 2 ds fpfdRldh; mis{kk ls gqbZ {kfr dh {kfriwfrZ gsrq nkf;Rok/khu gSa ftlds dkj.k fo:) i{kdkj dz-&3 ,oa 4 bl izdj.k esa vko";d i{kdkj gSaA 17- ifjoknh dk eq[; vk{ksi ;g gS fd fo:) i{kdkj dz-&1 ,e- Mh- ,l- vkSj Qsf"k;y IykfLVd ltZu o eSfDlyksQsf"k;y ltZu gS o dSalj ds vkWijs"ku dh ;ksX;rk ugha j[krk gS fQj Hkh nkar o Lymph Notes ds dSalj dk vkWijs"ku dsoy ykHk izkIr djus ds fy, fd;k x;k] tcfd dSalj dk vkWijs"ku djus dh ;ksX;rk dsoy vkUdksykftLV gh j[krs gSaA bl laca/k esa fo:) i{kdkj dz-&1 ,oa 2 dh vksj ls izn"kZ Mh&4 jktho xka/kh ;qfuoflZVh vkWQ gsYFk lkbZal] dukZVdk dk uksfVfQds"ku fnukad&16-03-2009 ,oa Oral and maxillofacial surgery izLrqr fd;k x;k gS ftlesa ;g mYysf[kr gS fd%& © Head and neck oncology- understanding of the principles of management of head and neck oncology including various pre canerous lesions, Edperience in the surgical techniques of reconstruction following ablative surgery.
© Micro vascular surgery.
© Impalntology- principles, surgical procedure for insertion of various
types of implants.
© Maxillofacial radiology/radio diagnosis
© Other diagnostic methods and imaging techniques
fo:) i{kdkj dz-&1 MkW- uhys"k ixkfj;k ,e- Mh- ,l- ¼Oral and maxillo facial surgeon½ gS vkSj muds dkslZ esa gh ;g mYysf[kr gS fd ,e- Mh- ,l- MkWDVj gsM ,oa usd esa dSalj dh ltZjh djus dh ;ksX;rk j[krs gSaA vr% bl laca/k esa ifjoknh dh vksj ls dh xbZ vkifRr Lohdkj ;ksX; ugha gSA 18- ifjoknh ds fo)ku vf/koDrk dk ;g rdZ gS fd fo:) i{kdkj dz-&1 }kjk mis{kkiw.kZ ,oa xyr vkWijs"ku dj ifjoknh ds firk dk tcM+k dkV fn;k Dismissed Page 10 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
x;k ,oa tcM+k vius LFkku ls vkxs vk x;k vkSj dke djuk can dj fn;k ftlls ifjoknh ds firk cksyus o ,d gkFk ls fy[kus ls dkaius yxs vkSj BqM~Mh ds uhps ls il vkus yxk o dSalj cxyksa esas] xys ds uhps da/ks rd QSy x;k ,oa ifjoknh ds firk dh ,d vka[k uhps gks xbZ ftlls mldh vka[k [kqy ugha ikrh FkhA ifjoknh ds firk dh BqM~Mh ds uhps dkVdj fQj ls vkWijs"ku fd;k x;k] fdarq il vkuk de ugha gqvk rc fo:) i{kdkj dz-&1 ds xyr bZykt ls {kqC/k gksdj ifjoknh ds firk vEcsMdj gkWfLiVy] jk;iqj o VkVk eseksfj;y gkWfLiVy] eaqcbZ o dbZ dSalj Lis"kfyLV ds ikl o iSFkksykWth esa ijh{k.k djokrs jgs ,oa fnukad&07-01-2018 dks ifjoknh ds firk dh e`R;q ckykth gkWfLiVy esa gks xbZ] fadarq bl lac/a k esa ifjoknh dh vksj ls ,slk dksbZ nLrkost ;k fo"ks'kK vfHker~ izLrqr ugha fd;k x;k gS ftlls ;g izekf.kr gks fd fo:) i{kdkj dz-&1 }kjk xyr bZykt o vkWijs"ku djus ds dkj.k ifjoknh ds firk dk dSalj da/ks rd QSy x;k vkSj mlds dkj.k mldh e`R;q gks xbZA 19- fo:) i{kdkj dz-&1 ,oa 2 ds fo)ku vf/koDrk dk ;g rdZ gS fd ifjoknh ds firk dks bUQsDVsM fV"kq ugha] cfYd dSalj Fkk ftldk bZykt fo:) i{kdkj dz-&1 ,oa 2 ds ;gka laHko gSA ejht ,oa muds ifjtuksa dks ;g Li'V :Ik ls crk;k x;k Fkk fd dSalj ds bZykt esa tcM+k dkVuk iM+rk gS vkSj mlds dkj.k mUgsa Hkkstu djus esa fnDdr vk,xh rFkk cksyus esa Hkh fnDdr vk ldrh gS ,oa mudh lgefr ds Ik"pkr~ gh vkWijs"ku fd;k x;k FkkA dSalj Lymph Notes tks fd xys esa gksrs gSa mlesa tk pqdk Fkk ftldh iqf'V lh- Vh- Ldsu fjiksVZ fnukad&19-01-2017 ls dh xbZ Fkh vkSj blh dkj.k xys dk Hkh vkWijs"ku fd;k x;k FkkA fo:) i{kdkj dz-&1 ,d Maxillo Facial Surgeon gSa tks fd dSalj dh ltZjh dj ldrs gSaA vkWijs"ku ds Ik"pkr~ tks bUQsD"ku vkrk gS mldks de djus ds fy, ,d NksVh ltZjh dh xbZ FkhA dSalj ,d cM+h ltZjh gksrh gS Dismissed Page 11 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
ftlesa tcM+k fudkyk tkrk gS ftlds dkj.k ejht dks [kkus&ihus o cksyus esa fnDdr gksrh gS ftls ejht dks iwjh rjg ls le>k fn;k x;k FkkA fo:) i{kdkj dz-&1 ,oa 2 dh vksj ls ejht dks dSalj gkWfLiVy gsrq fnukad&12-02- 2017 dks fjQj Hkh fd;k x;k Fkk tks fd izn"kZ lh&13 ls izekf.kr gSA ejht bZykt vk/ks esa NksMd + j Lo;a dh ethZ ls nwljs MkWDVj ds ikl x;k FkkA ejht dk bZykt fo:) i{kdkj dz-&1 ,oa 2 ds }kjk varjkZ'Vªh; ekinaMksa ds fglkc ls fd;k x;k FkkA jsfM;ksFksjsih vkSj dheksFksjsih dk bZykt dSalj esa vR;ar vko";d gS vkSj mijksDr tkudkjh ejht dks igys gh ns nh xbZ FkhA fo:) i{kdkj dz -& 1 ,oa 2 }kjk fdlh Hkh rjg ls xyr bZykt ugha fd;k x;k gSA bl lac/a k esa fo:) i{kdkj dz-&1 ,oa 2 dh vksj ls MkW- Lusgy calksM+ HOD, Department of Oral and maxillo facial surgeon dk vfHker~ fnukad&31-08-2021 izn"kZ Mh&7 tks fd "kiFk&i= ls lefFkZr gS] izLrqr fd;k x;k gS ftlesa ;g vfHker~ fn;k x;k gSS fd%& "This is to certify that Dr. Nilesh Pagaria, M.D.S. (Oral and maxillo Facial Surgeon) is a competent and experienced surgeon. He can perform oral and head, neck cancer surgeries and has right to perform these surgeries to serve the society."
fo:) i{kdkj dz-&1 ,oa 2 dh vksj ls MkW- jk/ks";ke pkSjfl;k Consultant Faclomaillary Surgeon dk vfHker~ fnukad&05-09-2021 izn"kZ Mh&8 tks fd "kiFk&i= ls lefFkZr gS] izLrqr fd;k x;k gS ftlesa ;g vfHker~ fn;k x;k gSS fd%& "This is to certify that Dr. Nilesh Pagaria (MDS, Oral and maxillo Facial Surgeon) is a competent and experienced surgeon. He can perform oral and head, neck cancer surgery and right to perform these surgeries to serve the society. Head, Nick Canver surgery is part of Maxillo Facial Training during post graduate curriculum."
fo:) i{kdkj dz-&1 ,oa 2 dh vksj ls izLrqr mDr vfHker~ dk [k.Mu ifjoknh dh vksj ls ugha fd;k x;k gS vkSj ifjoknh dh vksj ls ,slk dksbZ Dismissed Page 12 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
nLrkost ;k fo"ks'kK vfHker~ Hkh izLrqr ugha fd;k x;k gS ftlls ;g izekf.kr gks fd ifjoknh ds firk ds bZykt esa fo:) i{kdkj dz-&1 ,oa 2 dh vksj ls fdlh izdkj dh dksbZ fpfdRldh; mis{kk ,oa ykijokgh dj lsok esa deh dh xbZ gSA 20- Kusum Sharma & ORS. Vs. Batra Hospital & Research Centre & Ors., I (2010) CPJ 29 (SC); esa ekuuh; loksZPp U;k;ky; }kjk ;g fu/kkZfjr fd;k x;k gS fd%& 94'. On scrutiny of the leading cases of medical negligence both in our country and other countries especially United Kingdom, some basic principles emerge in dealing with the cases of medical negligence. While deciding whether the medical professional is guilty of medical negligence following well known principles must be kept in view:
I. Negligence is the breach of a duty exercised by omission to do something which a reasonable man, guided by those considerations which ordinarily regulate the conduct of human affairs, would do, or doing something which a prudent and reasonable man would not do.
II. Negligence is an essential ingredient of the offence. The negligence to be established by the prosecution must be culpable or gross and not the negligence merely based upon an error of judgment.
III. The medical professional expected to bring a reasonable degree of skill and knowledge and must exercise a reasonable degree of care. Neither the very highest nor a very low degree of care and competence judged in the light of the particular circumstances of each case is what the law requires.
IV. A medical practitioner would be liable only where his conduct fell below that of the standards of a reasonably competent practitioner in his field.
V. In the realm of diagnosis and treatment there is scope for genuine difference of opinion and one professional doctor is clearly not negligent merely because his conclusion differs from that of other professional doctor.
VI. The medical professional is often called upon to adopt a procedure which involves higher element of risk, but which is honestly believes as providing greater chances of success for the patient rather than a procedure involving lesser risk but higher chances of failure. Just because a professional looking to the gravity of illness has taken higher element of risk to redeem the patient out of his/her suffering which did not yield the desired result may not amount to negligence.
VII. Negligence cannot be attributed to a doctor so long as he performs his duties with reasonable skill and competence.
Dismissed Page 13 of 16
Complaint Abhijeet Singh Tomar Date of Pronounced
Case No. Vs. On -21 -07-2023
CC/2018/47 Dr. Nilesh Pagariya & Anr.
Merely because the doctor chooses one course of action in preference to the other one available, he would not be liable if the course of action chosen by him was acceptable to the medical profession.
VIII. It would not be conducive to the efficiency of the medical profession if no Doctor could administer medicine without a halter round his neck.
IX. It is our bounden duty and obligation of the civil society to ensure that the medical professionals are not unnecessary harassed or humiliated so that they can perform their professional duties without fear and apprehension.
X. The medical practitioners at times also have to be saved from such a class of complainants who use criminal process as a tool for pressurizing the medical professionals/hospitals or clinics for extracting uncalled for compensation. Such malicious proceedings deserve to be discarded against the medical practitioners.
XI. The medical professionals are entitled to get protection so long as they perform their duties with reasonable skill and competence and in the interest of the patients. The interest and welfare of the patients have to be paramount for the medical professionals."
21- Jacob Mathew Vs. State of Punjab & Anr. III (2005) CPJ 9 (SC) esa ekuuh; loksZPp U;k;ky; }kjk ;g fu/kkZfjr fd;k x;k gS fd%& "90. In Jacob Mathew's case (supra), conclusions summed up by the Court were very apt and some portions of which are reproduced hereunder:
(1) Negligence is the breach of a duty caused by omission to do something which is a reasonable man guided by those considerations which ordinarily regulate the conduct of human affairs would do, or doing something which a prudent and reasonable man would not do. The definition of negligence as given in Law of Torts, Ratanlal & Dhirajlal (edited by Justice G.P. Singh) referred to hereinabove, holds good. Negligence becomes actionable on account of injury resulting from the act or omission amounting to negligence attributable to the person sued. The essential components of negligence are three: 'duty', 'breach' and 'resulting damage'.
(2) Negligence in the context of medical profession necessarily calls for a treatment with a difference. To infer rashness or negligence on the part of a professional, in particular a doctor, additional considerations apply. A case of occupational negligence is different from one of professional negligence. A simple lack of care, an error of judgment or an accident, is not proof of negligence on the part of a medical professional. So long as a doctor follows a practice acceptable to the medical profession of that day, he cannot be held liable for negligence merely because a better alternative course or Dismissed Page 14 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
method of treatment was also available or simply because a more skilled doctor would not have chosen to follow or resort to that practice or procedure which the accused followed. (3) The standard to be applied for judging, whether the person charged has been negligent or not, would be that of an ordinary competent person exercising ordinary skill in that profession. It is not possible for every professional to possess the highest level of expertise or skills in that branch which he practices. A highly skilled professional may be possessed of better qualities, but that cannot be made the basis or the yardstick for judging the performance of the professional proceeded against on indictment of negligence.
22. Consumer Case No. 361/2001 Smt. Mamta Agarwal & Ors. Vs. Bombay Hospital Medical Research Centre & Ors., Decided on-22nd December 2002 esa ekuuh; jk'Vªh; vk;ksx }kjk ;g fu/kkZfjr fd;k x;k gS fd%& "22. The Hon'ble Supreme Court in the case S. K. Jhunjhunwala Vs. Dhanwanti Kaur and Another [8] held that in every case where the treatment is not successful or the patient dies during surgery, it cannot be automatically assumed that the medical professional was negligent. Recently in the case of Dr. (Mrs.) Chanda Rani Akhouri & Ors. Vs. Dr. MA Methusethupathi & Ors. [9]. It was observed that:
"it clearly emerges from the exposition of law that a medical practitioner is not to be held liable simply because things went wrong from mischance or misadventure or through an error of judgment in choosing one reasonable course of treatment in preference to another."
23- mijksDr ekuuh; U;k; n`'Vkarksa ,oa laiw.kZ foospuk ds mijkar ge ;g ikrs gSa fd ifjoknh ds firk ds bZykt esa fo:) i{kdkj dz-&1 ,oa 2 dh vksj ls dksbZ fpfdRldh; mis{kk ,oa ykijokgh dj lsok esa deh ugha dh xbZ gS vkSj pwfa d fo:) i{kdkj dz-&1 ,oa 2 ds fo:) dksbZ fpfdRldh; mis{kk ,oa ykijokgh izekf.kr ugha gqvk gS ,slh fLFkfr esa fo:) i{kdkj dz -&3 ,oa 4 Hkh fdlh izdkj dh {kfriwfrZ gsrq nkf;Rok/khu ugha gSaA 24- ifjoknh us ftl ekuuh; U;k; n`'Vkar dk voyacu fy;k gS mlds rF; bl izdj.k ds rF;ksa ls fHkUu gksus ds dkj.k mldk ykHk ifjoknh dks ugha feyrk gSA Dismissed Page 15 of 16 Complaint Abhijeet Singh Tomar Date of Pronounced Case No. Vs. On -21 -07-2023 CC/2018/47 Dr. Nilesh Pagariya & Anr.
25- vr% ifjoknh dh vksj ls izLrqr ifjokn izekf.kr ugha gksus ls fujLr fd;k tkrk gSA mHk;i{k bl ifjokn dk okn O;; Lo;a ogu djsx a sA ¼ U;k;ewfrZ xkSre pkSjfM+;k ½ ¼ xksiky panz "khy ½ ¼ izeksn dqekj oekZ ½ v/;{k lnL; lnL;
Pronounced on- 21st July 2023 Dismissed Page 16 of 16