Patna High CourtHealth and Medical LawCriminal Procedure and Evidence

Criminal Prosecution of a Doctor for Negligence Requires Prior Independent Medical Opinion Confirming Gross Recklessness

Dr. Rajesh Kumar @ Rajesh Kumarv.State Of Bihar and Anr

Criminal Prosecution of a Doctor for Negligence Requires Prior Independent Medical Opinion Confirming Gross Recklessness. Dr. Rajesh Kumar @ Rajesh Kumar vs State Of Bihar and Anr. Patna High Court. LawLens
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In brief

The question

1. Whether the criminal prosecution against a medical professional can be sustained without a credible expert medical opinion establishing gross negligence

The court held

The court answered both issues in the negative and held that in the absence of cogent medical evidence or an expert opinion establishing gross negligence, the criminal proceedings could not be sustained

It also directed

The court allowed the application and quashed the order of cognizance dated 29.02.2016 and the entire criminal proceeding arising from Brahampura P.S. Case No. 314 of 2015

01Facts

The Petitioner, a surgeon, performed a Cesarean section on Opposite Party No. 2 (O.P. No. 2) in July 2014

¶ 3

O.P. No. 2 subsequently developed abdominal complications and underwent further treatments at S.K.M.C.H. and other facilities

¶ 6-7

She later filed an F.I.R. alleging that the Petitioner negligently left a surgical towel in her abdomen, which was purportedly removed by another doctor in February 2015

¶ 3, 7

Diagnostic reports (ultrasounds) between July 2014 and February 2015 did not show any foreign body

¶ 15-16

The police filed a chargesheet under Sections 337, 338, and 506 of the IPC

¶ 3

The Trial Court took cognizance on 29.02.2016

¶ 4

Notably, the Investigating Officer sought a medical opinion, but the chargesheet was filed before the Medical Board’s report—which eventually found no proof of a recovered towel—was received

¶ 5, 25

02Issues

i.1. Whether the criminal prosecution against a medical professional can be sustained without a credible expert medical opinion establishing gross negligence

¶ 5, 22

ii.2. Whether the allegations and materials on record prima facie constitute offences under Sections 337, 338, and 506 of the IPC

¶ 14, 27

03Law Applied

The court primarily applied the standard of "gross negligence" required for criminal liability of doctors as established in Jacob Mathew v. State of Punjab, which mandates that a medical practitioner is only liable if their conduct falls below the standard of a reasonably competent practitioner and requires a "credible opinion" from a competent doctor before entertaining a complaint

¶ 18-19, 22

It followed Kusum Sharma v. Batra Hospital, emphasizing that an error of judgment or unsuccessful treatment does not ipso facto amount to negligence

¶ 21

Additionally, it relied on State of Haryana v. Bhajan Lal regarding the High Court's inherent power under Section 482 of the Cr.P.C. to quash proceedings to prevent abuse of the process of law

¶ 28

Provisions in the judgment · 4 · Linked ones open on LawLens

Code of Criminal Procedure, 1973 Section 482

Indian Penal Code, 1860 Section 337Section 338Section 506

04Reasoning

The court reasoned that medical professionals are protected from frivolous prosecution unless the negligence is "gross" and "culpable"

¶ 13, 21

In this case, the court noted a significant lack of medical evidence: multiple ultrasound reports and surgical notes from subsequent government hospitals (S.K.M.C.H.) failed to mention any foreign body

¶ 15-16, 26

Crucially, the court found that the Trial Court took cognizance in a mechanical manner without waiting for the Medical Board's report, which ultimately exonerated the Petitioner by stating there was no proof of a recovered surgical towel

¶ 17, 25

Furthermore, the court observed that the ingredients for "criminal intimidation" under Section 506 IPC were entirely absent from the F.I.R.

¶ 27

Since the expert opinion required by the Jacob Mathew guidelines did not support the prosecution, the court determined that continuing the trial would be an abuse of process

¶ 27-28

05Holding

The court answered both issues in the negative and held that in the absence of cogent medical evidence or an expert opinion establishing gross negligence, the criminal proceedings could not be sustained

¶ 27-28

The court allowed the application and quashed the order of cognizance dated 29.02.2016 and the entire criminal proceeding arising from Brahampura P.S. Case No. 314 of 2015

¶ 29-30
Patna High Court

Original Court PDF

Dr. Rajesh Kumar @ Rajesh KumarvsState Of Bihar and Anr

Patna High Court · June 29, 2026

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