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96. On fracture of mandible, blood was seen oozing through the nose and mouth. On fracture of skull due to bursting of blood vessel in head, blood can ooze out of the nose. He attempted for endo-tracheal intubation. His attempt for inserting tube directly into the lungs through the mouth, failed as there were fractures of the bones of the face. Therefore, he did emergency surgery of tracheotomy. It was for establishing the airway and for sucking the aspirated blood and also for giving oxygen. As BP was low, I.V was established, through which fluids were given. Then, he came out of the acute care room of the casualty, and prepared Ext.P32. When he came out of the room, he could see the brother of the deceased, who furnished the name and address of the deceased. According to him, what were done by him were only life-saving mechanisms. D.S.R.3/2011, Crl. Appeal 149/2012 Had it not been done, she would have died then and there. He had suggested Gynaec consultancy. He was also present in the team of doctors who prepared Ext.P3 report. She was removed to ventilator.

Pelvic examination:-uterus normal size, mobile, no pathology in uterus.
Patient had head injury. Internal capsular bleed in CT scan and not moving left side of body and unconscious. Strider Tracheotomy done. She is dangerously ill. Vaginal swab (2 in numbers), vaginal smear (2), pubic hair clippings and nail clippings taken. Undergarment was also taken. All the same were sent for chemical examination and DNA matching.

100. According to PW1, there was evidence of signs of resistance. Ext.P2 is the forensic report. There is head injury and multiple facial injuries. There was intra cerebral haemorrhage and the patient was dangerously ill.

101. On 3.2.2011 PW1 along with the other Doctors in the Medical College Hospital attended the victim and gave Ext.P3 D.S.R.3/2011, Crl. Appeal 149/2012 report. PW1 identified MO1 as the cream coloured partially torn shirt, MO2 blood stained petticoat (shimmy), MO3 brassiere torn, and MO4 pink underskirt loosely found on the body of the victim. Patient was unconscious and she was having respiratory difficulty. Tracheotomy was placed prior to her examination. CT scan was also taken. As she was in serious condition, she was put on ventilator. She could not survive without ventilator and Tracheotomy. According to PW1, the injuries are sufficient to cause the death. After the examination, PW1 came out of the room, and contacted the police, asked the crime number and wrote it on the sample.

4. Tracheotomy wound 4x0.8 c.m. transversely placed on lower part of front of neck in midline (surgical, healing, healthy).

5. Surgical sutured wound 10 c.m. long, transversely placed on left side of front of abdomen with its inner end 3 c.m. outer to midline and 13 c.m. below costal margin(surgical, healing, healthy).

6. Abrasion 2.2x0.1 c.m. vertically placed on left side of front of chest 3 c.m. below collarbone and 1 c.m. outer to midline. Two curved abrasions 1x 0.1 c.m. and 0.6x0.1c.m. each. 0.5 c.m. apart, with a convexity facing upwards and inwards, the inner one being 10 c.m. to the right of midline just below right collarbone and one similar mark 0.5x0.1 c.m. just below middle of D.S.R.3/2011, Crl. Appeal 149/2012 left collarbone. Abrasion 2x1.2 c.m. incorporating curvy linear contused abrasion (0.8 c.m., curved down) on front of left shoulder. (Remark-multiple nail marks along the neck line of garment).