State Consumer Disputes Redressal Commission
Rajeev Shrivastav S/O Let. Ramesh ... vs Metro Hospital And Others on 29 April, 2019
1 jkT; miHkksDrk fookn izfrrks"k vk;ksx] cSap la- 2] jkt0] t;iqj ifjokn la[;k %& 51@2011 jktho JhokLro iq= Lo0 jes'k izlkn mez 32 o"kZ fuoklh 294 , vej uxj&lh] fljlh jksM] ikWaP;kokyk t;iqj ifjoknh cuke 01- esVªks gkWfLiVy] 203] vkfQllZ dsEil] fljlh jksM] [kkrhiqjk] t;iqj 302012 02- MkWa0 TkksRluk flag] esVªks gkWfLiVy] 203] vkfQllZ dsEil] fljlh jksM] [kkrhiqjk] t;iqj 302012 03- larksdck nqyZHk th eseksfj;y gkWfLiVy de esMhdy fjlpZ lsUVj] Hkokuh flag ekxZ] t;iqj 302015 04- lksuh gkWfLiVy] ¼ A Unit of Soni Medicare (p) Ltd.) tokgjyky usg:
ekxZ] t;iqj tfj;s izcU/kd foi{khx.k le{k % ekuuh; Jh dey dqekj ckxMh] lnL; ¼U;kf;d½ ekuuh; lnL; Jherh ehuk esgrk mifLFkr %& ifjoknh dh vksj ls Jh mes'k ukxiky vf/koDrk foi{kh la[;k 1 o 2 dh vksj ls Jh foTth vxzoky vf/koDrk foi{kh la[;k 3 dh vksj ls Jh jksud fla?koh vf/koDrk foi{kh la[;k 4 vf/k- Jh vfHk"ksd Hk.Mkjh dh vksj ls Jh foey dqekj lSu vf/k-
fu.kZ; fnukad 29 vizsy] 2019 jkT; vk;ksx jktLFkku t;iqj ¼}kjk Jh dey dqekj ckxM+h] lnL;] ¼U;kf;d½ ;g ifjokn jktho JhokLro dh vksj ls esVªks gkWfLiVy ,oa vU; ds fo:) bl vk;ksx esa fnukad 27-07-2011 dks is'k fd;kA 2 izdj.k ds rF; bl izdkj gS fd jktho JhokLro iq= Lo- jes'k izlkn ,oa Jherh js.kq iq=h Jh vkuUnhyky dk 'kqHk fookg lEiUu gqvkA jktho vxzoky ifjokj esa bdykSrh larku gS ,oa Jherh js.kq Hkh vius ifjokj esa bdyksrh larku gSA buds ?kj ,d iq=h dk tUe gqvkA uoEcj 2010 esa Jherh js.kq nwljh ckj xHkZorh gqbZ ,oa mldk bZykt foi{kh la[;k 1 o 2 dh ns[kjs[k esa pyk ,oa foi{khx.k }kjk crk;s x;s fn'kk funsZ'kkuqlkj nokbZ;kWa ,oa le; le; ij tkaps vkfn djokbZ xbZA fnukad 07-06-2011 dks Jherh js.kq dks jDrL=ko gksus yxk ifjoknh viuh iRuh dks ysdj rqjUr foi{khx.k ds ikl x;k ,oa foi{kh la[;k 2 ds funsZ'kkuqlkj ifjoknh us viuh iRuh dh lksuksxzkQh djokbZ] ftldh fjiksVZ ds vk/kkj ij crk;k x;k fd cPps dh uky gV tkus ls jDrL=ko gks jgk gS ,oa crk;k x;k fd orZeku fLFkfr esa cPpk ,oa ekrk nksuksa lkekU; fLFkfr esa gSA Hkfo"; esa dksbZ leL;k mRiUu gks ldrh gS blfy, ifjoknh dh iRuh dks gkWfLiVy esa HkrhZ jguk gksxk rFkk HkrhZ ds nkSjku ifjoknh dh iRuh dks 2 ;wfuV jDr p<+k;k x;kA fnukad 08-06-2011 dks ifjoknh dh iRuh dk jDrL=ko cUn gks x;k rFkk iqu% lksuksxzkQh djus ij cPps ,oa ekrk dh fLFkfr Bhd gksuk ik;k ifjoknh dh iRuh dksnokbZ;ka ,oa btsD'ku fn;k x;kA ifjoknh dh iRuh dk jDrpki lkekU; Fkk] ysfdu] chp chp esa cq[kkj gks jgk FkkA ifjoknh dh iRuh dh fLFkfr lkekU; Fkh] mldh lHkh tkap fjiksVZ lkekU; vkbZ rFkk xHkkZoLFkk esa cPpk lkekU; gksuk izdV fd;k x;kA fnukad 10-06-2011 dks ifjoknh dh iRuh dks lqcg 9-30 cts nfy;k f[kyk;k x;k rFkk 11-30 cts mls mYVh vkuk izkjEHk gqvkA ogkWa mifLFkr ifjoknh dh lkl us foi{kh la[;k 1 o 2 dks lwfpr fd;k] muds }kjk tkap dj nokbZ;ka nsuk iznf'kZr fd;kA nksigj 3-30 cts ifjoknh ds ikl mldh lkl dk Qksu vk;k fd js.kq dh mYVh cUn ugha gks jgh gS ,oa mldk ch-ih- c<+ jgk gS rFkk mls lksuksxzkQh ds fy;s ys tk;k x;k gSA cPps dk ewoesaUV ugha gksuk crk;k x;k A ifjoknh us foi{khx.k ls tkudkjh pkgh rks crk;k x;k fd izfdz;k lkekU; gS dqN le; esa fLFkfr lkekU; gks tk;sxhA blh le; ifjoknh dh iRuh iqu% jDrL=ko gksus yxk rks foi{khx.k }kjk crk;k x;k fd ifjoknh dh iRuh dks fMyhojh djk;k tkuk vR;Ur vko';d gS vkSj ifjokfnuh dks d`f=e izlo nnZ dh nokbZ;kWa nh xbZ rkfd ifjokfnuh dks lkekU; izlo djk;k tk ldsA ifjoknh dh iRuh dk vkWijs'ku u dj lkekU; izlo djk;k x;k vkSj mls yxkrkj jDrL=ko 3 gksrk jgk vkSj ifjoknh dh iRuh us iq= dks tUe fn;k] ysfdu foi{khx.k }kjk voxr djk;k x;k fd cPps dh /kM+du de gksus ds dkj.k mlds thfor jgus dh laHkkouk uk ds cjkcj gSA ifjoknh us cPps dks vkbZlh;w esa ys tkus dk fuosnu fd;k] ysfdu foi{khx.k ds ikl mDr lqfo/kk miyC/k ugha Fkh bl ij ifjoknh vU; gkWfLiVy ds vkbZlh;w esa ys tk;k tk ldrk gS rks foi{khx.k }kjk crk;k x;k fd cPps dk cpuk ukeqefdu gS rFkk orZeku fLFkfr esa eka ds thou dks Hkh [krjk mRiUu gks x;k gS ,oa 10 feuV ckn gh cPps dks e`r ?kksf"kr dj fn;k x;kA ifjoknh dh fj'rsnkj us yscj:e esa tkdj ns[kk rks ifjoknh dh iRuh dks jDrL=ko gks jgk Fkk rFkk mls 'okl ysus esa rdyhQ gks jgh Fkh bl ij ifjoknh us viuh iRuh dks fMLpktZ djok dj foi{kh dh ,Ecqysal ls lsok;ru gkWfLiVy ysdj x;k rks ogkWa ij jsftMsUV MkDVj us vkdj ifjoknh dh iRuh dks ns[kk vkSj dgk fd ejht ds CyM dh dkQh deh gks xbZ gS rFkk ejht dks rqjUr CyM p<+kuk gksxk ,oa muds gkWfLiVy esa CyM cSad dh lqfo/kk ugha gksus ds dkj.k vU; gkWfLiVy esa ys tkus dh lykg nhA ifjoknh foi{kh dh ,Ecysal ysdj foi{kh la[;k 3 ds ;gkWa igqWapk ogkWa ij ifjoknh dh iRuh dks 8-30 cts HkrhZ fd;k x;k rFkk iwoZ esa py jgs bZykt ls lacfa /kr nLrkostksa dh ekax dh ftl ij ifjoknh dk Hkrhtk foi{kh la[;k 1 o 2 ds ikl bZykt ls lacaf/kr nLrkost ysus igqWapk rks mls nLrkostksa ds uke ij ek= CyM fjiksVZ nh xbZA foi{kh la[;k 3 us ifjoknh dh iRuh ds yaXl esa ikuh Hkj tkuk ,oa fdMuh esa bUQsD'ku gks tkuk crkrs gq, lkjk [kwu cg tkus dk rF; izdV djrs gq, vkbZ-lh-;w- esa txg uk gksus dk cgkuk cukrs gq, jkr 11-00 cts ejht dh vU; gkWfLiVy esa ys tkus dk rF; izdV fd;kA foi{kh la[;k 3 ds ;gka vkbZlh;w esa txg uk gksus dk cgkuk cukrs gq, fdlh izdkj dk bZykt uk djus ij ifjoknh viuh iRuh dks ysdj foi{kh la[;k 4 lksuh gkWfLiVy igqWapkAogkWa ifjoknh dh iRuh dh tkap dh xbZ rFkk jkf= 12-30 ct ifjoknh dks ;g crk;k x;k fd ifjoknh dh iRuh dk thou cpkus ds fy;s mldh cPpsnkuh fudkyuh iM+sxh] D;ksa fd cPps dks tcjnLrh ls fudkyus ds dkj.k cPpsnkuh {kfrxzLr gks pqdh gS rFkk bl ncko ds dkj.k fdMuh ,oa yaXl esa ikuh vk x;k gSA ifjoknh us iRuh ds thou dh j{kk ds fy;s mldh cPpsnkuh fudkyus dh lgefr ns nh xbZ rFkk ifjoknh dh iRuh dks 72 ?kaVs rd osVa hysVj ij j[kk x;k 4 fdlh Hkh izdkj dh tkudkjh 72 ?kaVs ckn fn;s tkus dk vk'oklu fn;k x;k ifjoknh dh iRuh 9 fnu rd vkbZ-lh-;w- esa jgh rFkk ckn esa mls okMZ esa f'kQ~V fd;k x;kA ifjoknh dh iRuh dk jDrL=ko rks cUn gks x;k ysfdu ;wfju vkuk can gsk x;k rFkk yxkrkj [kkalh gksrh jgh ,oa 'kjhj esa lwtu vk xbZA ifjoknh dh iRuh dh lksuksxzkQh dh xbZ rks mlds CysMj esa ;wfju fn[kkbZ fn;k ftlesa d`f=e fdz;k }kjk ckgj fudkyk x;k mldh ;wfju djus dh 'kfDr orZeku esa lekIr gks xbZ gSA ifjoknh dh iRuh dk 11 ckj Mk;ysfll fd;k x;k mlds i'pkr~ Hkh ifjoknh dh iRuh dh fdMuh dh dk;Z{kerk 'kwU; iznf'kZr dh xbZA rFkk ifjoknh dks ck;ksIlh VsLV djokus dks dgk x;kA blds fy, ifjoknh dh iRuh dks ,l-ds- lksuh gkWfLiVy] lhdj jksM] esa jsQj dj fn;k x;kA ifjoknh dh vkfFkZd fLFkfr vR;f/kd [kjkc gks pqdh FkhA vr% ifjoknh }kjk ,l-,e-,l- gkWFLiVy esa /kuat; vxzoky dks fn[kk;k x;k mUgksusa mldh tkap djokbZ tkap ds i'pkr~ crk;k fd ifjoknh dh iRuh dh fdMuh us dke djuk can dj fn;k gS mls Bhd djus dk iz;kl fd;k tk ldrk gS] ysfdu] Bhd gksus dh laHkkouk 05 izfr'kr gS rFkk mls 25 ;wfuV IykTek] IysVl] CyM 'kSy fn;s x;s rFkk 15-07-2011 dks fdlh izdkj dh mEehn uk gksus ij mls fMLpktZ dj fn;k x;k vkSj crk fn;k x;k fd mldh iRuh dks thou i;ZUr Mk;ysfll ij jguk iM+x s kA vr% ifjokn esa pkgs x;s vuqrks"k fnyok;s tk;saA ifjokn ,oa lk{; ds leFkZu esa ifjoknh ,oa Jherh js.kq JhokLro dk 'kiFk&i= ,oa nLrkost izLrqr fd;sA foi{kh la[;k 1 o 2 dh vksj ls tokc esa ifjoknh dh iRuh Jherh js.kq JhokLro izFke ckj foi{kh la[;k 1 esVªks gkWfLiVy esa fnukad 05-01-2011 ij fpfdRlk ijke'kZ gsrq vkbZ FkhA rRle; mUgsa foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag M.S.(Obst. & Gynae.) }kjk ns[kk tkdj ijh{k.k fd;k x;k FkkA rnqiajkr] Jherh js.kq JhokLro foi{kh la[;k 1 esVªks gkWfLiVy esa fnukad 24-01-
2011] 25-01-2011] 27-02-2011] 29-03-2011] ,oa 22-04-2011 ij fpfdRlk ijke'kZ gsrq vkbZ mijksDr leLr frfFk;ksa ij mUgsa foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk ns[kk tkdj ijh{k.k fd;k x;k ,oa vko';d fpfdRlh; tkaps djokbZ tkdj Symptomatic mipkj fd;k x;kA fnukad 22-04-2011 ds i'pkr~ ifjoknh 5 dh iRuh Jherh js.kq JhokLro foi{kh la[;k 1 esVªks gkWfLiVy esa fnukad 07 twu] 2011 dks le; jkf= 9-10 ih-,e- ij foxr ,d ?k.Vs ls Bleeding Per Vagina, Backache, Nausea o pain Abdomen dh f'kdk;r ds lkFk vkbZ ftl ij foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk mUgsa ns[kk tkdj ijh{k.k fd;k x;kA ifjoknh dh iRuh ds Per Abdomen ijh{k.k ls 30 g¶rs dk xHkZ Foetal Heart Sound regular ,oa Uterus not acting (not contracting) ifjyf{kr gqvkA ifjoknh dh iRuh ds Per Speculum ,oa Per Vagina ijh{k.k ls Bleeding Per Vagina ,oa Os (cervical opning ) close gksuk ifjyf{kr gqvkA Jherh js.kq JhokLro dk B.P. 110/70 mmhg ,oa pulse 90/Minute FkhA ifjoknh dh iRuh Jherh js.kq JhokLro dh lksuksxzkQh djokbZ xbZ ftlesa Marginal Retro Placental Clots, Decreased Amniotic Fluid rFkk Hkzw.k dk otu yxHkx 1100 xzke ifjyf{kr gqvkA MkWa0 ¼Jherh ½ T;ksRluk flag }kjk Jherh js.kq JhokLro ,oa muds ifr jktho JhokLro] vFkkZr ifjoknh dks leLr oLrqfLFkfr tksf[ke ,oa ifj.kkeksa ls voxr djk;k x;k rFkk Jherh js.kq JhokLro dks HkrhZ djk;s tkus dh lykg nh xbZ ftlls fd Vaginal Bleeding dk mipkj fd;k tk ldsA pwfa d Jherh js.kq JhokLro fnukad 07-06-2011 dks jkf= esa foi{kh la[;k 1 gkWfLiVy esa vkbZ Fkh] vr% mUgsa jkf= easa Under Observation j[kk tkuk mfpr le>k x;k ,oa foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk vko';d mipkj dk ijke'kZ fn;k x;kA lkFk gh foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk Jherh js.kq JhokLro ds Attendants dks Blood Transfusion ds fy, 2 Units Blood dh O;oLFkk djus ds fy, Hkh dgk x;kA Jherh js.kq JhokLro ds Attendants }kjk fnukad 07@08-06-2011 dh jkf= esa 2 Units Blood miyC/k djok;k x;k tks fd Jherh js.kq JhokLro dks p<+k;k x;kA vxys fnu vFkkZr~ fnukad 08-06-2011 dks izkr% 8-00 cts foi{kh la[;k 2 MkWa0 ¼Jherh ½T;ksRluk flag }kjk Jherh js.kq JhokLro dks ns[kk x;kA Jherh js.kq JhokLro dks fn;s x;s mipkj ls vR;Ur Qk;nk gqvk] ftlds pyrs Bleeding Per Vagina Nil ik;h x;hA ijh{k.k ls Foetal Heart Sound Present ,oa Uterus not acting (not contracting ) gksuk Hkh ifjyf{kr gqvkA rRle; Jherh js.kq Jhoklro Comfortable FkhA foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk dqN fpfdRlh; tkaps (Hemoglobin, Bleeding Time/Clotting Time, Urea, Sugar o Platelet Count ) djok;s tkus dk ijke'kZ fn;k x;k] lkFk gh vU; ds 6 vykok Inj Aminowel fn;s tkus dk ijke'kZ Hkh fn;k x;k rFkk Jherh js.kq JhokLro ds Attendants dks 1 Unit Fresh Blood dh O;oLFkk djus ds fy, Hkh dgk x;kA fnukad 08-06-2011 dks vijkg~u 4 cts foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk Jherh js.kq JhokLro dk ijh{k.k fd;k x;k rRle; dksbZ Bleeding Per Vagina ugha Fkh rFkk Jherh js.kq JhokLro Comfortable FkhA fnukad 09-06-2011 dks izkr% 8-00 cts foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk Jherh js.kq JhokLro dks ns[kk x;k] rRle; Hkh Jherh js.kq JhokLro dk Comfortable Fkh] dksbZ Bleeding Per Vagina ugha Fkh Foetal Heart Regular Fkk ,oa Total Unine Output 3200 ml FkkA foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk vko';d Medication ,oa dqN fpfdRlh; tkWaps (Liver Function Test, Hemoglobin o Platelet Count ) djok;s tkus dk ijke'kZ fn;k x;kA fnukad 09-06-2011 dks vijkg~u 4-00 cts foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk Jherh js.kq JhokLro dks ns[kk x;kA rRle; Hkh Jherh js.kq JhokLro Comfortable Fkh] mls fdlh rjg dh dksbZ Complaint ugha FkhA Uterus not acting(not contracting), Foetal Heart Regular Fkk ,oa dksbZ Bleeding Per Vagina ugha FkhA mijksDr fLFkfr dks /;ku essa j[krs gq, iwoZ mipkj tkjh j[kus ds funsZ'k fn;s x;sA fnukad 10-06-2008 ij izkr% 8-00 cts foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk js.kq JhokLro dks ns[kk x;kA Jherh js.kq JhokLro Comfortable Fkh] dksbZ Bleeding Per Vagina ugha FkhA Foetal Heart Regular Fkk Uterus not acting(not contracting) ,oa Total Unine Output 2100 ml FkkA foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk vko';d Medication ,oa dqN fpfdRlh; tkWaps (Hemoglobin, BT/CT/PT, Urea, Sugar, Platelet Court o Urine Examination ) djok;s tkus dk ijke'kZ fn;k x;kA ifjoknh dk ;g dFku furkUr vlR; gS fd Jherh js.kq JhokLro dks fnukad 10-06-2011 ij 11-30 ,-,e- ij mYVh vkuk izkjaHk gqvk Fkk tks fd vijkg~u lk<s rhu cts rd can ugha gqbZA Jherh js.kq JhokLro dks mYVh dh f'kdk;r izFke ckj fnukad 10-06-2011 dks vijkg~u 4-00 cts gqbZ ftl ij foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk tkap dh xbZ rRle; Jherh js.kq JhokLro dks BP 150/90 mmhg FkkA foi{kh la[;k 2 MkWa0 ¼Jherh ½ T;ksRluk flag }kjk 7 Inj. Emset IV Stat fn;s tkus dk funsZ'k fn;k x;kA fnukad 10-06-2011 ij vijkg~u 4-30 cts foi{kh la[;k 2 MkWa0 ¼ Jherh ½ T;ksRluk flag }kjk }kjk iqu% Jherh js.kq JhokLro dh tkap dh xbZA rRle; mudk BP 170/100 mmhg FkkA Jherh js.kq JhokLro }kjk Pain abdomen, ?kcjkgV rFkk Per Vagina leaking/ bleeding dh f'kdk;r dh xbZA foi{kh la[;k 2 MkWa0 ¼ Jherh ½ T;ksRluk flag }kjk Jherh js.kq JhokLro dk Per Abdomen ijh{k.k djus ij Uterus acting (contracting), Foetal Heart Present gksuk ifjyf{kr gqvkA Per Vagina ijh{k.k djus ij Cervix 3cm Dilated ,oa 80% effaced gksuk Membrane absent ? Flat gksuk] Vertex at -3, Pelvis Adequate gksuk ,oa leaking Per Vagina rFkk Slight Bleeding per Vagina gksuk ifjyf{kr gqvkA foi{kh la[;k 2 MkWa0 ¼ Jherh ½ T;ksRluk flag }kjk Jherh js.kq JhokLro dh rqjUr lksuksxzkQh djokbZ xbZ ftlls Large Retro Placental Clot present, Foetal Cardiac Activity Present ,oa Liqour Absent gksuk ifjyf{kr gqvkA Jherh js.kq JhokLro dk chih fnukad 10-06-2011 vijkg~u 4-30 cts ij 150@90 ,e,e,pth ,oa vijkg~u 4-30 cts 170@100 ,e,e,pth gksus rFkk rRi'pkr~ djok;h xbZ lksuksxzkQh esa Large Retro Placental Clots ifjyf{kr gksus ls Placental Abruption dh fLFkfr mHkj dj lkeus vk jgh FkhA mDr xaHkhj fLFkfr dks ns[krs gq;s] foi{kh la[;k 2 MkWa0 ¼ Jherh ½ T;ksRluk flag }kjk Jherh js.kq JhokLro ,oa muds Attendants dks leLr oLrqfLFkfr] tksf[ke ,oa tfVyrkvksa ls voxr djkrs gq;s] Attendants dks 2 Units Blood dh O;oLFkk djus ds fy, dgk x;k] f'k'kq fo'ks"kK dks cqyk;k x;k rFkk fuEufyf[kr Factors dks n`f"Vxr j[krs gq, normal vaginal delivery djokuk mfpr le>k x;kA foi{kh la[;k 2 MkWa0 ¼ Jherh ½ T;ksRluk flag }kjk Jherh js.kq JhokLro dk fnukad 10-06-2011 vijkg~u 4-30 cts ij Per Abdomen ijh{k.k djus ij Uterus acting (contracting), Foetal Heart Present gksuk rFkk Per Vagina ijh{k.k djus ij Cervix 3cm Dilated ,oa 80% effaced gksuk rFkk Pelvis Adequate gksuk ifjyf{kr gqvk Fkk] tks fd Labour imminent gksuk n'kkZrk Fkk] ftlds pyrs Labour dks ek= augment djus dh vko';drk Fkh uk fd induce djus dhA Jherh js.kq JhokLro dks Labour Room esa ys tk;k x;k rFkk nokbZ;kA 'kq: dh xbZA Jherh js.kq JhokLro vkSj Hkqz.k nksuksa dk /;ku j[kk x;kA le; 5 ih-,e- ij Jherh js.kq JhokLro dk BP 150/90 mm hg Fkk] Foetal Heart 8 irregular Fkh vkSj Uterus acting vFkkZr~ Contract dj jgk Fkk le; 5-30 ih-,e- ij Jherh js.kq JhokLro dk BP 150/90 mm hg Fkk] ,oa Foetal Heart irregular Fkh rFkk Urine output 700 ml FkkA djhc 7-00 ih-,e- ij Jherh js.kq JhokLro dks fMyhojh gks xbZ vkSj ,d ckyd dks tUe fn;k x;k ftldk otu ,d fdyks rhu lkS xzke FkkA cPps dks lkal ysus esa fnDdr FkhA xys esa uky ds vkaVs Fks ftlds pyrs lkal ysus esa fnDdr gks jgh FkhA (Cord around the neck, gasping at the time of delivery) cPps dks rqjUr f'k'kq fo'ks"kK jktohj ;kno }kjk vkWDlhtu nh xbZ vkSj suction fd;k x;k rFkk vkWDlhtu Ventilate dh xbZ] ijUrq 10 feuV ds resuscitation, inj. Adrenaline o chest compression ds ckotwn cPps dks revive ugha fd;k tk ldk cPps dks e`r ?kksf"kr dj ifjokjokyksa dks voxr djk;k x;kA blh nkSjku ekaW ds Placenta deliver gqvk ijUrq mlds ckn Hkh eka dks Bleeding gksrh jgh] ftlds fy, nokbZ;kWa nh xbZ ftlesa Inj. Endoprost IM Stat, Inj. Methargin 2 Amp IV Stat fn;k x;k] lkFk esa Inj. Syntocinon 4 Amp in Dextrose, Inj, Tesakind IV, Inj, Cafzone 1gm IV Stat, Inj. Haemacoel IV, Inj, RL 1000 Ml ,oa Tab. Misoprost 400 per rectum fn;k x;kA Jherh js.kq JhokLro ds Attendants dks 2 Units Blood dh rqjUr O;oLFkk djus ds fy, iqu% dgk x;k mijksDr reke iz;klksa ds ckotwn Hkh Bleeding gksrh jgh vkSj Utresa chp chp esa Contract vkSj relax gksrk jgkA Uterine massage fd;k x;kA Per Speculum ijh{k.k ls Cervix vkSj Vagina intact gksuk ifjyf{kr gqvkA Bleeding ugha :dus rFkk Blood dk bartke ugh gksus ds dkj.k rqjUr Jherh js.kq JhokLro dks Further management ds fy, Higher Centre jsQj djus dk funsZ'k nsdj fMLpktZ fd;k tkdj tfj;s ,EcqysUl 7-45 ih-,e- ij Hkstk x;kA rRle; Jherh js.kq JhokLro dk BP 150/90 mm hg FkkA Jherh js.kq JhokLro dks rqjUr CyM dh t:jr Fkh] ifjoknh }kjk viuh iRuh dks] fdlh ,sls Higher Centre tgkWa CyM cSad gks ys tk;s tkus dh ctk;] igys rks lsok;ru vLirky] tgkWa CyM cSad dh lqfo/kk ugha Fkh] ys tk;k x;k ftlls dher le; cjckn gqvk o rnqijkUr larksdck nqyZHkth vLirky ys tk;k x;k tgkWa Jherh js.kq JhokLro dks HkrhZ rks dj fy;k x;k ijUrq CyM cSad dh lqfo/kk gksus ds ckotwn Hkh CyM ugha p<+k;k x;k rFkk vkSj 2&3 ?k.Vs cjckn djus ds ckn ;g dgdj Jherh js.kq JhokLro dks fMLPkktZ dj fn;k x;k fd muds ;gkWa vkbZlh;w esa txg ugha gSA rRi'pkr~ ifjoknh }kjk fnukad 10-06-2011 9 ij jkf= 11-30 cts Jherh js.kq JhokLro dks lskuh vLirky esa HkrhZ djk;k xk] tgkWa mls CyM fn;k x;k] ijUrq vc rd tks nsjh gqbZ mlds pyrs vU; tfVyrk;sa mRiUu gks pqdh FkhA mijksDr lUnHkZ esa ;g xkSjryc gS fd Jherh js.kq JhokLro dks tc larksdck nqyZHkth vLirky ys tk;k x;k Fkk rc rd Disseminated Intra Vascular Coagulation/Shock dh fLFkfr mRiUu ugh gqbZ Fkh] ijUrq tc rd mUgsa lksuh vLirky ys tkdj HkrhZ djk;k x;k rc Disseminated Intra Vascular Coagulation/Shock dh fLFkfr mRiUu gks pqdh FkhA mijksDr leLr ifjfLFkfro'k Jherh js.kq JhokLro dks Sub Total Hysterectomy djuk vko';d gks x;kA lksuh vLirky dh lksuksxzkQh fjiksVZ fnukafdr 11-06-2011 esa Liver, CBD, Pancreas, Spleen, Kidney, bR;kfn ukseZy gksuk ifjyf{kr gqvk gS rFkk ek= Bulky Uterus -h/o parturition in recent past ,oa minimal free fluid both pleural and peritoneal cavity dk impression fn;k x;k gSA lkFk gh ,l-ds- lksuh vLirky dh Uterus Biopsy ls Hkh Uterus damage gksuk ifjyf{kr ughaa gksrk gSA oju mDr Biopsy ls ek= inflammatory pathology ifjyf{kr gksrh gSA Post Partum Hemorrhage ,d Known Complication gS] ftlds identifiable risk factors esa placental abruption Hkh ,d risk factor gS] tks fd Jherh js.kq JhokLro ds dsl esa ekStwn FkkA vr% Post Partum Hemorrhage gksus ek= ls ;g ugha dgk tk ldrk gS fd fMyhojh djokus esa fpfdRld }kjk dksbZ ykijokgh cjrh xbZ FkhA foi{kh la[;k 2 MkWa0 ¼ Jherh ½ T;ksRluk flag }kjk National Insurance Company Limited, near panch Batti, M.I. Road, Jaipur (Raj) ls Professional Indemnity (Doctors) Policy No. 370100/46/10/8700000306 vof/k 29-08-2010 ls 28-08-2011 Indemnity Limit Rs. 15 Lacs ys j[kh gSA vr% ifjoknh dk ifjokn e; gtsZ [kpsZ o 'kkfLr [kkfjt Qjek;k tkosaA 10 foi{kh la[;k 1 o 2 dh vksj ls tokc ,oa lk{; ds leFkZu esa MkWa0¼Jherh½ T;ksRluk flag dk 'kiFk&i= ,oa izn'kZ&vksih@1 yxk;r izn'kZ&vksih@5 nLrkost izLrqr fd;sA foi{kh la[;k 3 us vius tokc esa vf/kdka'k fcUnqvksa ij vufHkKrk tkfgj djrs gq, dgk fd mlds vLirky esa ifjoknh dh iRuh dks yk;k x;k FkkA ifjoknh dh iRuh dh fLFkfr xaHkhj Fkh vkbZ-lh-;w- miyC/k ugha Fkk blfy, rqjUr fMLpktZ dj fn;k x;kA foi{kh la[;k 3 dh vksj ls tokc ds leFkZu esa nhid jkt 'kekZ dk 'kiFk&i= izLrqr fd;kA foi{kh la[;k 4 dh vksj ls tokc esa dFku fd;k fd ifjoknh us vius ifjokn esa fdlh Hkh MkDVj dk dksbZ izek.k&i= ;k jk; izLrqr ugha dh gS ftlls ;g lkfcr gksrk gks fd foi{kh }kjk fdlh izdkj dh dksbZ ykijokgh dh xbZ gks ;k dksbZ lsoknks"k fd;k gksA foi{kh la[;k 4 ds ;gkWa Jherh js.kq JhokLro dk bZykt djk;k x;k Fkk izdj.k ds rF;ksa ls Li"V gS fd Jherh js.kq JhokLro thfor gS ,oa i<+h fy[kh gSA Jherh js.kq JhokLro }kjk mDr ifjokn izLrqr ugha fd;k x;k ftlls Li"V gksrk gS fd Jherh js.kq JhokLro }kjk foi{kh la[;k 4 ds fo:) dksbZ Hkh esMhdy ykijokgh gksus dk dFku ,oa izek.k izLrqr ugha fd;k gS vkSj uk gh dksbZ ifjokn izLrqr fd;k gSA Jherh js.kq JhokLro dks foi{kh la[;k 4 ds vLirky esa jkf= djhc 11-30 cts yk;k x;k ml le; Jherh js.kq JhokLro dh gkyr cM+h xaHkhj Fkh ,oa mls igys ls gh vR;f/kd jDr L=ko (Excessive Bleeding PV) gks jgk Fkk] ftlds jksdus ds fy, rqjUr gh esMhdy VªhVesaV 'kq:
fd;k x;k Fkk] ijUrq esMhdy VªhVesVa nsus ds ckotwn Jherh js.kq JhokLro dk jDr L=ko (Excessive Bleeding PV) ugha :dk] vkf[kj esa ml jDr L=ko (Excessive Bleeding PV) dks jksdus ds fy;s rFkk mlds thou dks cpkus ds fy, rqjUr cPpsnkuh dk vkWijs'ku djus dk fu.kZ; fy;k x;k] ftlds ckcr~ muds firk ,oa ifr ls fyf[kr Lohd`fr yh xbZA Jherh js.kq JhokLro dks foi{kh vLirky esa HkrhZ djk;k x;k rc mldks ;wfju ugha vk jgh Fkh ftldk fooj.k izn'kZ&vkj&4@1 esa fn;k x;k gSA Jherh js.kq JhokLro dh gkyr dkQh xaHkhj Fkh rFkk foi{kh vLirky ds MkWDVjksa dk flQZ ,d gh nkf;Ro Fkk fd fdlh Hkh rjg Jherh js.kq JhokLro dks cpk;k tkuk vko';d FkkA ifjoknh dk ;g dFku 11 xyr ,oa >awBk gS fd foi{kh vLirky }kjk Jherh js.kq JhokLro dh ns[kHkky lgh :i ls ugha dh xbZA lgh rF; ;g gS fd foi{kh vLirky }kjk Jherh js.kq JhokLro dh tku cpkbZ xbZ rFkk lHkh izdkj ls lgh ns[kHkky dh xbZA ;gkWa ;g Hkh fuosnu gS fd tc Jherh js.kq JhokLro dks foi{kh vLirky esa HkrhZ djk;k x;k rc muds ;wfju ugha vkus dh leL;k FkhA ifjoknh Lo;a }kjk izLrqr larksdck nqyZHkth eseksfj;y gkWfLiVy tks foi{kh la[;k 3 gS }kjk fMLpktZ fVfdV ls ;g Li"V gksrk gS fd ifjoknh dh iRuh dks ;wfju vkuk iwoZ esa gh can gks pqdk FkkA foi{kh la[;k 4 ds ;gkWa HkrhZ ls iwoZ Hkh ifjoknh dh iRuh dks ;wfju ugha vk jgk Fkk ;gkWa ;g dguk vko';d gS fd foi{kh la[;k 4 }kjk loZi zFke ifjokfnuh dh tku cpkus dk iz;kl fd;k x;k ,oa blds i'pkr~ rqjUr gh 'kjhj esa gqbZ vU; chekjh ckcr bZykt Hkh pkyw dj fn;k x;k A foi{kh la[;k 3 }kjk ifjoknh dks ;g crk;k x;k Fkk fd ifjoknh dh iRuh Jherh js.kq JhokLro dks fdMuh esa bUQsD'ku gks x;k gSA foi{kh la[;k 4 }kjk fdMuh ds bUQsD'ku gsrq rqjUr gh mipkj izkjEHk dj fn;k x;k FkkA foi{kh la[;k 4 }kjk Jherh js.kq JhokLro dks Lis'kfyLV MkWa0 vkyksd tSu dks Hkh jsQj fd;k x;kA mDr rF; dk fooj.k izn'kZ&vkj&4@1 esa fn;k x;k gSA MkWa0 vkyksd tSu }kjk is'ksUV dks ns[kdj ,oa lHkh esMhdy fjdkMksZ dks ns[kdj is'ksUV dk bZykt izkjEHk dj fn;k x;k FkkA ;gkWa ;g Hkh fuosnu gS fd foi{kh la[;k 4 ds ;gkWa HkrhZ gksus ls iwoZ gh ifjoknh dh iRuh dh fdMuh [kjkc gks pqdh Fkh ftldk izek.k larksdck nqyZHkth eseksfj;y gkWfLiVy ds fMLpktZ fVfdV ,oa tkap fjiksVksZ ls Li"V gksrk gS fd mDr nLrkost Lo;a ifjoknh }kjk is'k fd;s x;s FksA ;wfju ugha vkus ds dkj.k ifjoknh dh iRuh dk bZykt rqjUr izkjEHk dj fn;k x;k Fkk ,oa ifjoknh dh iRuh dh tkap Hkh djkbZ xbZ Fkh rFkk nokbZ;ka Hkh nh xbZ FkhA ijUrq ifjoknh dh iRuh dks ;wfju ugha vkus ds dkj.k foi{kh la[;k 4 ds MkDVjksa }kjk Mk;fyfll fd;k x;kA ifjoknh dh iRuh dk izFke Mk;fyfll 12-06-2011 dks fd;k x;k Fkk ftldh Lohd`fr muds firk }kjk dh xbZ Fkh blds i'pkr~ 13-06-
2011 dks Hkh Mk;fyfll dh xbZ Fkh ftldh Lohd`fr ifjoknh Lo;a }kjk nh xbZ FkhA blh izdkj fnukad 15-06-2011] 17-06-2011] 19-06-2011 ,oa 21-06-2011 dks Hkh Mk;fyfll dh xbZ Fkh ftldh Lohd`fr ejht ds ifjtuksa }kjk nh xbZ FkhA ;gkWa ;g Hkh fuosnu gS fd Lo;a ejht Jherh js.kq JhokLro }kjk fnuka d 25-06- 2011 dks Mk;fyfll dh Lohd`fr nh xbZ FkhA bu lHkh rF;ksa ls Li"V gksrk gS 12 fd fdMuh dk bZykt rqjUr izHkko ls izkjEHk dj fn;k x;k Fkk ,oa ;g ugha dgk tk ldrk fd foi{kh la[;k 4 dh ykijokgh ls fdMuh [kjkc gks xbZ gksA Jherh js.kq JhokLro dks foi{kh la[;k 4 ds vLirky esa HkrhZ fd;k x;k Fkk blls iwoZ ls gh fdMuh esa bUQsD'ku Fkk rFkk bUQsD'ku cgqr vR;f/kd Fkk rFkk mldk mipkj Mk;fyfll gh FkkA Mk;fyfll ,d izfdz;k gS ftlds }kjk fdMuh esa bdV~Bk gq;s ¶ywM ,oa vU; VkWfDlUl dks ckgj fudkyk tkrk gSA fdMuh Mset s ds ckjs esa tkudkjh gsrq fdMuh dh ck;Ilh dh tkuh vko';d gksrh gSA bl dkj.k ls ejht Jherh js.kq JhokLro dks ,l-ds- lksuh gkWfLiVy esa VªkUlQj fd;s tkus dk dFku fd;k FkkA ijUrq Jherh js.kq JhokLro ,oa muds ifjtuksa }kjk ?kj tkus ds cgkus ls vU; vLirky esa viuk bZykt djk;k x;kA foi{kh la[;k 4 }kjk fd;k x;k mipkj esMhdy izsfDVl ,oa izkslhtj vuqlkj gh FkkA ifjoknh }kjk uk rks lokbZ ekuflag vLirky dks i{kdkj cuk;k x;k gS uk gh MkWa0 /kuat; vxzoky dks i{kdkj cuk;k x;k gS bl dkj.k mDr ifjokn [kfjt fd;s tkus ;ksX; gSA izn'kZ vkj&4@1 esa of.kZr rF; ls Li"V gksrk gS fd foi{kh la[;k 4 }kjk fdMuh dk bZykt rqjUr izHkko ls pkyw dj fn;k Fkk rFkk Mk;fyfll fd;s tkus ls iwoZ ifjoknh ejht rFkk ejht ds ifjtuksa dh Lohd`fr Hkh yh xbZ FkhA Jherh js.kq JhokLro xaHkhj fLFkfr esa foi{kh la[;k 4 ds ;gkWa HkrhZ dh xbZ Fkh mudh tku dks vR;f/kd [krjk Fkk rFkk foi{kh la[;k 4 ds MkWDVjksa dks lw>cw> ls Jherh js.kq JhokLro dh tku cpkbZ xbZA ifjoknh foi{kh la[;k 4 ls dksbZ vuqrks"k izkIr djus dk vf/kdkjh ugha gSA foi{kh la[;k 4 ds MkDVjksa }kjk esMhdy izsfDVl ,.M izkslhtlZ ds vuqlkj gh dk;Z fd;k x;k Fkk rFkk Jherh js.kq JhokLro dh tku cpkbZ xbZA foi{kh la[;k 4 }kjk Jherh js.kq JhokLro dh tku cpkbZ xbZ ,oa fu;ekuqlkj lHkh bZykt fd;s x;sA tc Jherh js.kq JhokLro foi{kh la[;k 4 ds vLirky esa HkrhZ gqbZ rc mudh gkyr cM+h xaHkhj Fkh rFkk mudh tku dks [krjk Fkk] izn'kZ&vkj@1 ls] tks fd foi{kh vLirky dk fjdkMZ gS ls Li"V gksrk gS fd Jherh js.kq JhokLro dks HkrhZ djk;s tkus ds le; D;k FkhA ifjoknh foi{kh la[;k 4 ls dksbZ vuqrks"k izkIr djus dk vf/kdkjh ugha gSA vr% ifjoknh dk ifjokn foi{kh la[;k 4 ds fo:) [kkfjt fd;k tk;saA 13 foi{kh la[;k 4 dh vksj ls tokc ,oa lk{; ds leFkZu esa dze'k% dsoy frokjh ,oa MkW0 ch0vkj0 lksuh ds 'kiFk&i= ,oa izn'kZ&vkj@1 ,oa izn'kZ vkj@ 4@1nLrkost izLrqr fd;sA cgl i{kdkjku vf/koDrkx.k lquh ,oa i=koyh rFkk nLrkostkr dk voyksdu fd;kA bl izdj.k eaas foi{kh la[;k 1 o 2 us tokc esa 15 yk[k :- dk chek gksuk crk;k gS ijUrq chek daiuh dks i{kdkj ugha cuk;k x;k Fkk rFkk orZeku esa ekuuh; jk"Vªh; vk;ksx us First Appeal No 2081@18 vkns'k fnukad 09 vizSy] 2019 esa fu/kkZfjr fd;k gS fd esMhdy usxyhtsUlh ds ekeys esa chek daiuh dks i{kdkj ugha cuk;k tkuk pkfg, ;|fi b.MsfefuVh dk fookn gkWfLiVy ,oa chek daiuh ds chp gS uk fd ihfM+r o chek daiuh ds chp gS blfy, foi{kh la[;k 1 o 2 chek ds laca/k esa vius Lrj ij dk;Zokgh djsaA ;g izdj.k rhu fcUnqvksa ij vk/kkfjr gS %& 01- cPps dh fMyhojh nsjh ls djkus o vlko/kkuhiwoZd djkus ls cPps dh e`R;q gks x;hA 02- vlko/kkuhiwoZd fMyhojh djkus ds dkj.k ifjoknh dh iRuh dk ;wVjl QV x;kA 03- vlko/kkuhiwoZd fMyhojh o bZykt esa ykijokgh ds ifj.kkeLo:i ifjoknh dh iRuh dh fdMuh [kjkc gks tkukA ge lcls igys izFke fcUnq ij fopkj dj jgs gSA ;g izdj.k fpfdRlh; ykijokgh dk gSA fpfdRlh; ykijokgh ds ekeys esa vk;ksx dks ftu ckrksa dk /;ku j[kuk gksxk muds laca/k esa 2010 (I) RLW 722 (SC) Kusum sharma & ors. Vs. Batra Hospital & Medical Research Centre & ors. esa ekuuh; loksZPp U;k;ky; us fuEu fn'kk&funsZ'k fn;s gS%& "On scrutiny of the leading cases of medical negligence both in our country and other countries specially the United Kingdom, some 14 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 ommission 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 is ecpected 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 reasonable 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 he honestly believes as providing greater chances of success for the patient rather than a procedure involving lesser risk but highest 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 disired 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. 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.15
VIII. It would not be conducive to the effciency 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 unnecessarily 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 pressurising the medical professionals/hospitals, particularly private hospitals or clinics for extractine uncalled for compensation. Such malicious proceedings deserve to be discarded against the medical practitoners.
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.
bl izdj.k esa ifjoknh dh iRuh xHkZorh Fkh mls foi{kh la[;k 1 o 2 ds ;gkWa fn[kk;k x;kA fnukad 07-06-2011 dks Jherh js.kq dks CyhfMax 'kq: gks x;h tl ij foi{kh la[;k 2 dks fn[kk;k x;k] ftlus lksuksxzkQh djok;h rFkk dgk fd cPps dh uky gV tkus ds dkj.k CyhfMax gks jgh gSA orZeku esa cPps o ekrk dh fLFkfr lkekU; gSA vLirky esa HkrhZ j[kk x;kA fnukad 08-06-2011 dks CyhfMax cUn gks x;h nokbZ;ka o batsD'ku fn;s x;s flQZ cq[kkj vk jgk FkkA fnukad 09- 06-2011 dks Jherh js.kq dh fLFkfr lkekU; Fkh] fnukad 10-06-2011 dks mls nfy;k f[kyk;k x;kA ifjoknh ds vuqlkj mls 11-30 cts mfYV;kWa 'kq: gksx;h] 3-30 cts mldh lkal dk Qksu vk;kA tc fd foi{kh la[;k 1 o 2 dk dguk gS fd dqN le; esa fLFkfr lkekU; gks tk;sxh fMyhojh djok;k tkuk vko';d gS iqu% CyhfMax 'kq: gks tk;sxh fMyhojh djkuk vko';d gSA mls 4-00 cts lwpuk feyh Fkh fQj CyhfMax gksrh jgh] vkbZ-lh-;w- esa ys tkus dk fuosnu fd;k ijUrq vkbZ-lh- ;w- Fkk ugha mlh fnu ifjoknh dh fj'rsnkjksa us yscj :e esa tkdj ns[kk rks] ejht ds dkQh CyhfMax gks jgh FkhA 7-00 cts cPpk gqvk ftldh e`R;q gks x;hA bl izdkj Jherh js.kq 07-06-2011 dks foi{kh la[;k 1 o 2 ds vLirky esa HkrhZ gks x;h Fkh 2 fnu CyhfMax cUn jghA fnukad 10-06-2011 dks ifjoknh i{k ds vuqlkj 11-30 cts mfYV;kWa 'kq: gks x;h FkhA foi{kh i{k ds vuqlkj 4-00 cts mYVh dh 16 lwpuk gqbZ FkhA ifjokfnuh Jherh js.kq dh fLFkfr dks ns[krs gq, rqjUr fMyhojh djkuk vko';d FkkA Jherh js.kq ds Hkkjh CyhfMax gks jgh Fkh] blds ckotwn fltsfj;u fMyhojh ugha dh x;h] u gh fltsfj;u fMyhojh dh jk; nh x;h cfYd ostkbZuy fMyhojh djok;h x;hA cPps ds xys esa uky my> x;h Fkh ftlds ifj.kkeLo:i cPpk iSnk gksus ds 20 feuV ds vanj gh cPps dh e`R;q gks x;hA Jherh js.kq iw.kZr% foi{kh la[;k 1 o 2 ds Hkjksls Fkh rFkk mUgha dh dLVMh esa Fkh Jherh js.kq dk lko/kkuhiwoZd /;ku j[kuk foi{kh la[;k 1 o 2 dk drZO; Fkk rFkk foi{kh la[;k 1 o 2 dks Skill & Due Care dk mi;ksx djuk Fkk] ;g eku Hkh fy;k tkosa fd foi{kh la[;k 2 dks 4-00cts Jherh js.kq dh rfc;r [kjkc gksus dh lwpuk feyh Fkh rFkk ns[kk Fkk] rks Hkh ml le; Hkh fLFkfr xaHkhj Fkh ostkbZuy fMyhojh 7-00 cts dh x;hA bl nkSjku Jherh js.kq ds [kwu cgrk jgk rFkk cPpsnkuh esa cPps dh uky chp esa vk tkus ls Lokal vo:) gks x;k ftl ij cPpk iSnk gksrs gh mldh e`R;q gks x;hA ifjoknh ;g rF; lkfcr djus esa Hkyh&Hkkafr lQy jgk gSA ifjoknh dk dk;Z buf'k;y cMZu lkfcr djuk gksrk gS] mlds i'pkr~ dk cMZu foi{kh la[;k 1 o 2 ij pyk tkrk gSA bl lac/a k esa II (2009) CPJ 61 SC NIZAM INSTITUTE OF MEDICAL SCIENCES Vs. PRASANTH S. DHANANKA esa ekuuh; loksZPp U;k;ky; us fuEu fu/kkZfjr fd;k gS %& (ii) Medical Negligence--Burden of Proof -- Initial burden to prove medical negligence discharged by complainant - Burden shifts on hospital/attending doctors to satisfy Court that there was no lack of care or deligence.
(2004) 8 SCC page 56 SAVITA GARG (SMT) Vs.
DIRECTOR, NATIONAL HEART INSTITUTE esa ekuuh;
loksZPp U;k;ky; us fuEu fu/kkZfjr fd;k gS %& D. Consumer
Protection Act, 1986 - Ss. 22, 18, 12 and 13 -Mecical negligence -- Burden of proof -Held, once aclaim petition is filed and the complainant has successfully discharged the initial burden that the hospital/clinic/doctor was negligent, and that as a result of such negligence the patient died, then in that case the burden lies on the hospital and the doctor concened who treatedthe patient to show that there was no negligence involved 17 in the treatment - Reasons for, given - Torts - Medical negligence--Burden of proof Jherh js.kq 07-06-2011 dks HkrhZ gqbZ ;g fooknkLin ugha gSA mlds CyhfMax gks jgh Fkh] CyhfMax jksdus ds fy, nokbZ;kWa nh x;hA fnukad 08 o 09 dks fLFkfr lkekU; FkhA 10 rkjh[k dks lqcg nfy;kWa fn;k x;k FkkA ifjoknh i{k ds vuqlkj Jherh js.kq ds 11-30 cts mfYV;kWa 'kq: gks x;h Fkh ftldh lwpuk foi{kh la[;k 1 o 2 dks nh x;h mlds ckn js.kq dh ekWa us vius nkekn dks cqyk;k 3-30 cts iqu% MkW0 ls feyk MkWDVj dk dguk gS fd mls lwpuk 4-00 cts feyh Fkh] ;fn MkWa0 dh ckr Hkh eku yh tk;sa rks Hkh ml le; Jherh js.kq ds Hkkjh CyhfMax gks jgh Fkh rqjUr fMyhojh djok;h tkuh pkfg, Fkh] ijUrq 7-00 cts fMyhojh djok;h x;h bl nkSjku Hkkjh CyhfMax gqbZ] tc Jherh js.kq dh gkyr bruh xaHkhj Fkh] rks] fltsfj;u fMyhojh djok;h tkuh pkfg, Fkh tks rqjUr gks tkrh rFkk cPps ds xys esa tks uky Fkh og Hkh ugha Qalrh cPpk Hkh cp tkrk ijUrq ,slk ugha fd;k x;k] ostkbZuy fMyhojh djok;h x;h ftlds ifj.kkeLo:i cPpk Lokl ds ?kqVus ls e`R;q gks izkIr gks x;kA bl lac/a k esa III (2015) CPJ 15 (SC) V. KRISHNAKUMAR V/S STATE OF TAMIL NADU & ORS.
esa ekuuh; loksZPp U;k;ky; us fuEu fu/kkZfjr fd;k gS %& Consumer Protection Act, 1986- Sections 2(1)(g), 23 - Medical Negligence - Pre3mature baby - Blood transfusion - Screening for disease 'ROP' not done Permanent blindness - Heavy expenditure incurred - Pain and suffering - Deficiency in service - Respondents were negligent in their duty in not screening child between 2 weeks 4 after birth when it is mandatory to do so and especially since child was under their care - Negligence began under supervision of respondent No. 2-Hospital - Respondent Nos. 3 and 4 who checked baby at his private clinic and at appellant's home, respectively, were also negligent in not advising screening for ROP - Respondent Nos. 3 and 4 carried on their own private practice while being in employment of respondent No. 2 which was a violation of their terms of service - Blindness has put 'Sharanya' at great disadvantage in her pursuit for making good living to care for herself - Negligence proved.
18
IV (2010) SCC 513 V. KISHAN RAO V/S NIKHIL
SUPER SPECIALITY HOSPTAL AND ANOTHER esa
ekuuh; loksZPp U;k;ky; us fuEu fu/kkZfjr fd;k gS %& A.
Consumer Protection - Services - Medical
practitioners/services - Medical negligence - Expert opinion of prima facie negligence, if a precondition for Consumer Forum to proceed with a case - No rule of general application, held, can be laid down in this regard - Expert opinion is required only when a case is complicated enough warranting expert opinion, or facts of a case are such that Forum cannot resolve an issue without expert's assistance - On facts held, where a patient who was suffering from intermittent fever and chills, was wrongly treated for typhoid instead of malaria for four days which resulted in her death, was an apparent case of medical negligence - It was not necessary to obtain expert opinion in the first instance before District Forum could award compensation - Investigation conducted by another hospital where patient was removed in a critical condition on fifth day, showed that Widal Test for typhoid was negative whereas test for malarial parasite was positive, was sufficient for District Forum to conclude that it was a case of wrong treatment - Consumer Protection Act. 1986 - Ss. 2(0), 2(g), 13 and 14 - Evidence Act, 1872, S. 45 III (2015) CPJ 248 (NC) Dr. Indu Sharma v/s Indraprastha Apollo Hospital and others esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& D.Consumer Protection Act, 1986- Sections 2(1)(g) Medical Negligence - Vaginal delivery - C-section - Baby suffered birth asphyxia and seizure
- Excessive use of Syntocinon and delay in decision to perform C- section, caused birth asphyxia to baby plea of OP that, the patient was reluctant to undergo C -section, but preferred to wait for vaginal delivery- Therefore, it was the bounden duty of the doctor to decide, the correct line of treatment - Doctor wouldn't just blindly obey the wishes of the patient, which in itself would be unethical - opposite party did not follow the 19 standard of medical practice - Therefore, held responsible for medical negligence in this case.
[para42] E. Consumer Protection Act, 1986- Sections 2(1) (g) Medical Negligence - Corporate hospitals - Degree of care - Corporate hospitals and Specialists, as might be expected, must perform at a higher level than other hospitals/general practitioners - Therefore, they after all, represent themselves as possessing highest standard facilities and care; also possess superior skills and additional training - No doubt the compensation in medical negligence cases has to be just and adequate, that the medical professionals need to be accountable to a certain degree.
III (2016) CPJ 89 (NC) BABY GEETHA (INFANT) AND OTHERS V/S COSMOPOLITAN HOSPITALS (P) LTD. AND OTHERS esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer Protection Act, 1986- Sections 2(1)(g) Medical Negligence - Deficiency in service - Instant case, post term pregnancy treated as normal case - Pictocin drip given for two days - Labour pain did not progress - pictocin drip was continued despite detecting presence of meconium in amniotic fluid - No caesarin delivery conducted to avert Birth Asphyxia - Child born suffering permanent disability - Held, case of medical negligence proved - Compensation of Rs. 4.5 lacs granted - Appeal dismissed.
IV (2014) CPJ 726 (NC) TIRATH RAM SHAHK CHARITABLE HOSPITAL V/S KAMINI YADAV esa ekuuh;
jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer Protection Act, 1986- Sections 2(1)(g), 14(1)(d), 21(b) - Medical Negligence - Fatal distress - Delay in performing LSCS operation - Death of child - Duty to care - Deficiency in service - District Forum allowed complaint - State Commission dismissed appeal - Hence revision - There was delay of 2 hours from Artificial Rupture of Hembrane (ARH) to performance of LSCS - It was inherent duty of treating doctor to operate patient, immediately, with a paramount 20 concern to save child - OP- Hospital has failed to counter such emergency - Negligence proved.
III (2012) CPJ 154 (NC) DEEP NURSING HOME & ANR.V/S MANMEET SINGH MATTEWAL & ORS. esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer Protection Act, 1986- Sections 2(1)(g), 14 (1)(d), 21
(a)(ii) - Medical Negligence - Delivery of child - Baby died though no foetal distress till time of delivery - Allegedly blood for transfusion not arranged - Deficiency in service alleged - State Commission allowed complaint - Hence appeal - Report of a Committee headed by 'State Director of Health Services' clearly stated that there did not "appear to be any gross medical negligence in management of patient by treating doctors" - All reports of Boards/Committees of expert doctors found no 'gross' medical negligence - No case of tortuous medical negligence had been made out against doctor in handling labour including delivery, management of baby's problems and post- delivery management at Nursing Home - Deleterious consequences of atonic uterine bleeding for a woman suffering from anemia have been emphasized by both Medical Boards - Antenatal management of patient by appellant No. 2 in respect of necessary hematological and cardio logical investigations was not at all in accordance with standard protocol that obstetrician of average skill would have adopted - Appellant No. 2 is directed to pay Rs. 20.26 lakh to complainant No. 1 Directions issued.
ekuuh; loksZPp U;k;ky; rFkk ekuuh; jk"Vªh; vk;ksx }kjk Åij of.kZr izfrikfnr fl)kUrksa dks /;ku esa j[ks rks izkbZosV gkWfLiVy dks iw.kZr% Due Care & Skill dk bLrseky djuk pkfg, ejht dh fLFkfr ds vuqlkj fu.kZ; fy;k tkuk pkfg,A vkikr fLFkfr esa ostkukbZuy fMyhojh dk bartkj ugha djuk pkfg,] pkgs mlds ifjokjtu ostkbZuy fMyhojh ds fy, ncko Mky jgs gksA cPps dh ekrk o cPps dks cpkus dh gj gkyr esa dksf'k'k dh tkuh pkfg, ijUrq bl izdj.k esa ,slk ugha fd;k x;kA 4 fnu HkrhZ j[ks tkus ds ckotwn ftl ysoy ds dkWjiksjsV gkWfLiVy dks lko/kkuh cjruh pkfg, og ugha cjrh x;hA Lis'kfyLV dks ftl 21 ysoy dh Skill & Care dk bLrseky djuk pkfg, og ugha fd;k x;k ftlds ifj.kkeLo:i Jherh js.kq ds tks cPpk gqvk og rqjUr ej x;k Jherh js.kq dh gkyr [kjkc Fkh] vLirky esa [kwu dh O;oLFkk ugha Fkh blfy, mls gk;j lsUVj esa ys tkus ds fy, jSQj dj fn;k x;k ogkWa ls Jherh js.kq dks lsok;ru gkWfLiVy esa ys x;s ogkWa O;oLFkk ugha Fkh rc larksdck nqyZHkth eseksfj;y gkWfLiVy esa ys x;s] ogkWa Hkh vkbZ0lh0;w0 esa cSM [kkyh ugha FkkA vr% lksuh gkWfLiVy esa ys x;s tgkWa mldk bZykt gqvk rFkk Jherh js.kq dh tku cpk;h tk ldhA fLFkfr esa foi{kh la[;k 1 o 2 vius [k.Mu esa lko/kkuh Skill & Care dk bLrseky lkfcr djus esa vlQy jgk gS] cfYd foi{kh la[;k 1 o 2 us vlko/kkuh Due Care & Skill dk mi;ksx ugha fd;k ftlds ifj.kkeLo:i Jherh js.kq dh gkyr vR;f/kd xaHkhj gks x;h rFkk mldk cPpk ej x;k ;g fcUnq foi{kh la[;k 1 o 2 ds fo:) r; fd;k tkrk gSA Jherh js.kq dks lsok;ru gkWfLiVy fQj larksdck nqyZHkth eseksfj;y gkWfLiVy ckn esa jkf= dks 11-30 cts lksuh gkWfLiVy ys tk;k x;k ftldk In patient Clinical Notes fuEu izdkj gS%& "Bleeding P/V Respiratory dispess/ since morning h/o 8 months amenorrhoca bleeding P/V 4 days was admitted in metro hospital, delivered today vaginal delvery still birth, but BPV didn't stopped, hence referred to high centir, went to SDMH, No ICU bed available".
lksuh gkWfLiVy esa Jherh js.kq dh fLFkfr [kjkc gksus dk voxr djokrs gq, lksuh gkWfLiVy us HkrhZ djkus dh lgefr mls jkf= 11-06-2011 dks jkf= 1-00 cts ,-,e- ij Jherh js.kq ds ifr ls ys yh x;h tks fuEu izdkj gS %& ** gesa vius ejht js.kq dh vfr xaHkhj fLFkfr ds ckjs esa foLrkj ls le>k fn;k x;k gS] mldh CyhfMax ugha :d jgh gS vkSj bUQsD'ku iwjs 'kjhj esa Qsy x;k gS ftlds dkj.k lkal ysus esa rdyhQ gS vkSj xqnsZ Hkh izHkkfor gS is'kkc ugha cuk jgs gSa] mldk chih Hkh de gSA dqy feykdj 'kjhj ds egRoiw.kZ vax izHkkfor gS] mldks lkal dh e'khu yxkus dh t:jr gS rFkk cM+h ul esa ykbZu ¼ lsUVªy ohul ykbZu ½ dh vko';drk gS rFkk IykTek@IysVysV~l@CyM+ p<+kus dh vko';drk gSA dqy feykdj fLFkfr cgqr xaHkhj gS vkSj ejht dh e`R;q Hkh gks ldrh gSA ge lc dqN le>rs gq, bZykt lksuh vLirky esa djkuk pkgrs gS** A Jherh js.kq dh ;wVjl ckW;ksIlh djok;h x;h tks fuEu izdkj gS %& Gross: Specimen of subtotal hysterectomy consist of uterus without cervix 22 measuring 12x9x9cm. The uterus is all ready sagitally cut open, Myometrium measuring 4.5 cm in thickness. Uteruo cervical canal patent. Rep: 4 pieces 4 block from Different area of uterus. (A,B,C,D) Microscopic Diagnosis:
Subtotal Hysterectomy Specimen:-
The endometrium is sloughed out. Only scanty endometrial stroma seen.
Myometrium shows interstitial oedema, with muscle infiltration by leukocytes (polymorphs, few eosinophils and lymphocytes) and macrophages.
Degenerated decidual tissue with pale cytoplasmic cells, dilated blood vessels and areas of hemorrhage seen.
bu lc rF;ksa dks ns[krs gq, Jherh js.kq dks xaHkhj voLFkk esa lksuh gkWfLiVy ys tk;k x;k Fkk mldh gkyr xaHkhj Fkh ijUrq ;wVjl dgha ls QVk gqvk gks bldh dksbZ Li"V fjiksVZ ugha gSA oStkbZuy fMyhojh esa ;wVjl esa ekewyh pksVsa vkuk LokHkkfod gS] fLFkfr esa ifjoknh dk ;g dguk fd ;wVjl QV x;k Fkk lgh izrhr ugha gksrk gSA fLFkfr esa bl laca/k esa fdlh dh ykijokgh lkfcr ugha gksrh gSA vr% ;g fcUnq ifjoknh ds fo:) r; fd;k tkrk gSA lksuh gkWfLiVy ys tk;k x;k Fkk rks ogkWa dh tkWap ds vuqlkj Jherh js.kq ds fdMuh esa baQsD'ku vk x;k Fkk ijUrq esMhdy lkbal o fyVªspj ds vuqlkj ;wVjl dk rFkk fdMuh dk dksbZ fyad ugha gksrk gSA fdMuh o yhoj ds tfj;s T;wl vkrk gS ftldk [kwu cu dj vyx pyk tkrk gS ;wfju ;wjsVj ds tfj;s CysMj esa tkdj ikl gks tkrk gSA bldk ;wVjl ls dksbZ laca/k ugha gSA ;g Hkkx yxHkx esy o Qheys ds ,d ls gksrs gSA esy o Qhesy ds Sex Part vyx vyx gksrs gS ijUrq mldk fdMuh ls dksbZ ysuk nsuk ughaA ;|fi nLrkost ds vuqlkj Jherh js.kq dh fdMfu;kWa [kjkc gks x;h gS] mldk dksbZ txg bZykt Hkh ugha gqvk gS rFkk Mk;fyfll ij Hkh j[kk x;k gS rFkk Mk;fyfll le; le; ij djok;k tkrk gS] ijUrq mldk fyax u rks] foi{kh la[;k 1 o 2 ls lacaf/kr gS rFkk u gh foi{kh la[;k 4 dh dksbZ xQyr ;k ykijokgh gS] cfYd foi{kh la[;k 4 us Jherh js.kq dh fLFkfr lkekU; dh gSA 23 ,slh fLFkfr esa ;g fcUnq Hkh ifjoknh ds fo:) r; fd;k tkrk gSA mijksDr foospu ds vk/kkj ij ifjoknh dk foi{kh la[;k 3 o 4 ds fo:) dksbZ ekeyk ugha curk gSA tgkWa rd foi{kh la[;k 1 o 2 dk iz'u gS yxHkx 4 fnu Jherh js.kq foi{kh la[;k 1 o 2 ds ;gkWa HkrhZ jgh ftlesa ,d fnu CyhfMax jksdh x;h 2 fnu dqy feykdj Bhd jgh pkSFks fnu ;g lkjk ?kVukdze gqvk gSA fMyhojh Hkh izh&eSP;ksj gqbZ gS] tc izh&eSP;ksj fMyhojh gh gqbZ gS tks fltsfj;u djuh pkfg,] ostkbZuy fMyhojh dk bartkj ugha djuk pkfg, fltsfj;u fMyhojh djrs rks cPps ds xys esa uky ugha vkrh ftlds ifj.kkeLo:i cPps dh e`R;q gqbZA cPpk iSnk gksus ds le; thfor Fkk tks izh&eSP;ksj fMyhojh lkfcr djrk gSA vr% foi{kh la[;k 1 o 2 fpfdRlh; ykijokgh ds nks"kh gSA pwfa d ifjoknh i{k Qhl nsdj foi{kh la[;k 1 o 2 ds ;gkWa HkrhZ gqvk rFkk lkjk [kpkZ tek djok;k blfy, ifjoknh miHkksDrk gS rFkk foi{kh la[;k 1 o 2 dh xQyr ,oa ykijokgh ds ifj.kkeLo:i Jherh js.kq dh fLFkfr xaHkhj gks x;h rFkk cPpk ej x;kA bl laca/k esa I (2017) CPJ 1 (SC) SHEELA HIRBA NAIK GAUNEKAR Vs. APOLLO HOSPITALS LTD. esa ekuuh; loksZPp U;k;ky; us fuEu fu/kkZfjr fd;k gS%& 6."We have heard learned counsel appearing on behalf of the parties of length. Our attention was drawn to the impugned judgment and order as well as the evidence on record, including the cross examination of Dr. Mathews. After a perusal of the evidence on recorded by the commission that there was medical negligence on the part of the hospital in not taking proper post operative care of the deceased, in based o0n legal and substantive evidence on record. The same has been properly appreciated by the Commission in exercise of its orginal jurisdiction, Therefore, we do not find any error, much less any perversity, in the findings recorded by the Commission so as to interfere with the impugne order in exercise of appellate jurisdiction of this court under Article 136 of the Constitution of India. Therefore, Civil Appeal No. 4408 of 2005, filed by the Apollo Hospitals Enterprise Ltd. is liable to be dismissed and is accordingly, dismissed.
7. Having ffirmed the findings recorded by the Commission on the question of medical negligence and 24 deficiency in services rendered by the respondent-Hospital, We are required to examine as to whether the amount of compensation awarded by the commission was just and reasonable. The Commission awarded compensation of Rs. 2 Lakh along with interest at the rate of 6% per annum. The income tax declaration filed by the deceased to the Income Tax department during the financial year in the which death had occurred is on record as evidence on behalf of the complainant in justification of her claim. According to the Income Tax return, the annual income of the deceased was Rs. 5 Lakhs per annum. Deducting one-third amount of the towards the personal expenditure of the deceased comes to Rs. 3,33000/-
(approximately). As on the date of the death, the deceased was aged 60 Years. In terms of the Motor Vehicles Act, 1988 and the decision of this court in the case of Sarla Verma (Smt.) and others V. Delhi Transport Corporation and Another, 162 (2009) DLT 278 (SC)=VI (2009) SLT 663=III (2009) ACC 708 (SC)=(2009) 6 SCC 121, the appropriate multiplier in the instant case is 9. Thus, the annual loss of dependency comes to Rs. 29,70000/- Having regard to the fact that the incident in the instant case occurred in the year 1996 and the litigation has been going on for nearly twenty years, it would serve the ends of justice to award Rs. 40 lakh as compensation. Having further regard to suffering of the complainant on account of mental agony, loss of head of the family, loss of consortium and loss of love and affection, we deem if fit to award a further consolidated sum of Rs. 10 lakh under the abovementioned heads, in accordance with the principles laid down by this Court in the case of Balram Prasad V. Kunal Saha and others, IV (2013) ACC 378 (SC)=VIII (2013) SLT 513=IV (2013) CPJ 1 (SC)=(2014)1 SCC 384 Thus, in the interest of justice, We deem it fit to award a total amount of Rs. 50 lakh as compensation in toto.
8. Accordingly, the compensation awarded by the Commission is modified as aforementioned. Further, interst has to be awarded as 9% per annum, in stead of 6% per annum, from the date of the institution of the complaint till the date of payment, applying the principle laid down by the Court in the case of Municipal Corporation of Delhi, Delhi V. Uphaar 25 Tragedy Victims Association and Others, VII (2011) SLT 757=IV(2011) ACC 382 (SC)=IV (2011) CPJ 74 (SC)= IV (2011) CLT 204 (SC)=(2011) 14 SCC 481.
9. We also modify the order of the commission to the extent that RW.1-Mr. Mathews, who performed the surgery which ultimately resulted indeath of Mr. Gaunekar, is also held liable to pay compensation along with the Apollo Hospital. Applying the principle laid down in the case of Balram Prasad (Supra), it would be just and proper if we direct RW.1-Dr. Mathews to pay Rs. 10 lakhs with proportionate interest to the complainant, out of total of Rs. 50 lakh which has been awarded by way of this Order.
10. Accordingly, Civil Appeal No. 3625 of 2005 filed by the complainant-wife is allowed and civil Appeal No. 4408 of 2005 filed by the Apollo Hospitals Enterprise Ltd. is dismissed. We modify the order passed by the Commission, awarding the compensation at Rs. 2 lakh along with interest at the rate 6% per annum, to payment of compensation of Rs. 50 lakh along with interest at the rate of 9% perannum as full and final settlement of all claims, to be paid within four weeks froom the date of receipt of the copy of this Order. It is once again clarified that the liability of the Apollo Hospital and Dr. Mathews towards compensation will be Rs. 40 lakh and Rs. 10 lakh respectively with proportionate interest at the rate of 9% per annum. We further make it clear that in case the Doctor, Dr. Mathews does not deposit the amount as ordered against him, the same shall be paid to the appellant complainant by the respondent Hospital and recovered from him. We further direct the respondent-Hospital to comply with this order and submit compliance report to the Registry of this Court within eight weeks from the date of receipt of the copy of this Order."
fLFkfr esa] ifjoknh dk ifjokn foi{kh la[;k 1 o 2 ds fo:) Lohdkj dj ifjoknh dks ,d eq'r 20]00]000@&:- ¼ v{kjs chl yk[k :- ½ fnyok;k tkuk mfpr gSA rFkk ifjokn nk;j djus dh fnukad 27 tqykbZ] 2011 ls 9 izfr'kr okf"kZd dh nj ls C;kt fnyok;k tkuk mfpr gSA 26 vkns'k vr% ifjoknh dk ifjokn] Lohdkj dj foi{kh la[;k 1 o 2 dks vkns'k fn;k tkrk gS fd os ifjoknh dks ,d eq'r 20]00]000@&:- ¼ v{kjs chl yk[k :- ½ ifjokn nk;j djus dh fnukad 27 tqykbZ] 2011 ls 9 izfr'kr okf"kZd dh nj ls C;kt lfgr vkns'k dh rkjh[k ls nks ekg esa vnk djsaA foi{kh la[;k 3 o 4 ds fo:) ifjoknh dk ifjokn [kkfjt fd;k tkrk gSA ¼ ehuk esgrk ½ ¼ dey dqekj ckxMh ½ lnL; lnL; ¼U;kf;d½ @ikBd@