Created by Fuzzy Cloud

Patna High Court

GEETA KUMARI @ GITA KUMARI @ GITA SINHAversusThe State Of Bihar

Decided
Disposal
ALLOWED

Holding

The prosecution was an abuse of process and the order taking cognizance was quashed because the FIR was filed after undue delay and without the mandatory expert medical opinion, and the alleged conduct did not meet the threshold of criminal negligence.

Summary

The petitioner, Dr. Geeta Sinha, was charged under IPC sections 420, 324, 326 and 308/34 following a complaint that she negligently damaged a urinary tube during a cesarean operation in 2012, leading to alleged injury and a claim of fraud. The FIR was lodged on 9 December 2014, more than two and a half years after the alleged incident, and the police proceeded without obtaining an independent medical opinion as mandated by Supreme Court precedents. The petitioner argued that the alleged negligence was not proven, that the delay violated procedural guidelines, and that criminal liability requires gross negligence, not ordinary medical error. The High Court, relying on Jacob Mathew and Martin F. D’Souza judgments, held that the prosecution lacked the requisite expert opinion and that the alleged conduct did not rise to the level of criminal negligence. Consequently, the court quashed the magistrate’s order taking cognizance and dismissed the proceedings as an abuse of process.

Issues considered

  • The FIR and prosecution were filed after an unreasonable delay and without a prima facie medical expert opinion as required by Jacob Mathew and related Supreme Court guidelines.
  • Whether the alleged medical act constitutes criminal negligence under the IPC, requiring a gross degree of negligence.
  • Whether the order taking cognizance of the offences should be quashed as an abuse of process.

Legislation cited

Subjects

  • medical negligence
  • criminal prosecution
  • FIR delay
  • expert medical opinion
  • Jacob Mathew guidelines
  • abuse of process
  • quash order

Judgment

                      IN THE HIGH COURT OF JUDICATURE AT PATNA
                              CRIMINAL MISCELLANEOUS No.16675 of 2016
                    Arising Out of PS. Case No.-558 Year-2014 Thana- JAHANABAD District- Jehanabad
                 ======================================================
                 Geeta Kumari @ Gita Kumari @ Gita Sinha Wife Of Bimal Kumar, Resident
                 Of Village- Bedauli, Police Station- Bhagwanganj In The District Of Patna.

                                                                                  ... ... Petitioner/s
                                                       Versus
                 The State Of Bihar

                                                        ... ... Opposite Party/s
                 ======================================================
                 Appearance :
                 For the Petitioner/s     :       Mr. Sunil Kumar
                 For the Opposite Party/s :       Mr. Gopesh Kumar App
                 ======================================================
                 CORAM: HONOURABLE MR. JUSTICE SANDEEP KUMAR
                                       ORAL ORDER

5   08-01-2026                  Heard the learned counsel for the petitioner and the

                   learned counsel for the State.

                                2. This application has been filed for quashing the

                   order dated 8.5.2015 passed by learned Chief Judicial

                   Magistrate, Jehanabad in Jehanabad P.S. Case No. 558 of 2014

                   by which cognizance was taken for the offence punishable under

                   Section 420,324,326,308/34 I.P.C., against the petitioner and

                   also order issuing summon against her.

                                3. The prosecution case, in brief, is that on 9.12.2014,

                   the informant Rita Devi submitted a written application to the

                   Inspector-cum-SHO, Jehanabad P.S., alleging that on 11.5.2012,

                   she visited Dr. Geeta Sinha (the petitioner) at Deepshila

                   Hospital, Jehanabad. On the same day, at about 3:00 A.M.,

                   following an examination, a cesarean operation was performed,
Patna High Court CR. MISC. No.16675 of 2016(5) dt.08-01-2026
                                           2/11




          resulting in the birth of her daughter. According to the

          informant, due to negligence during the operation, the petitioner

          damaged her urinary tube, causing her persistent body pain and

          continuous discharge of urine. When she complained about this

          to the doctor, the petitioner scolded her and her husband and

          asked them to leave the hospital. Subsequently, on 3.10.2012,

          her husband took her to Dr. Binita Sinha for treatment, where

          another operation was performed on 5.10.2012. She was

          discharged on 7.11.2012 after recovery. The informant further

          alleged that Dr. Binita Sinha informed her that her urinary tube

          had been damaged during the petitioner's operation. She claimed

          that the petitioner had defrauded her of Rs. 75,000/-.

                       4. On the basis of aforesaid written application, FIR

          vide Jehanabad P.S. Case No. 558 of 2014 was registered under

          Sections 420,324,326,308/34 of 1.P.C. After investigation police

          submitted charge-sheet vide Charge-sheet No. 121 of 2015

          dated 30.4.2015, u/s. 420,324,326,308/34 I.P.C. against the

          petitioner. Subsequently, vide the impugned order dated

          8.5.2015, learned Chief Judicial Magistrate, Jehanabad took

          cognizance for the offences under Sections 420,324,326,308/34

          I.P.C.

                       5. The learned counsel for the petitioner has submitted
Patna High Court CR. MISC. No.16675 of 2016(5) dt.08-01-2026
                                           3/11




          that the prescription, produced by the informant during

          investigation clearly shows that the delivery of the informant

          was normal. Thus, the allegation of negligence in operation by

          the petitioner is itself false and fabricated. He further submits

          that no case under any Sections as alleged is made out against

          the petitioner and the alleged date of occurrence is 11.05.2012

          and the informant had lodged the FIR on 09.12.2014 i.e., after

          delay of about more than two and half years.

                       6. Learned counsel for the petitioner further submits

          that before lodging the F.I.R., the police did not follow the

          mandatory guidelines issued by the Hon’ble Supreme Court in

          the case of Jacob Mathews vs. State of Punjab & Anr., reported

          in AIR 2005 SC 3180 and in the case of Martin F. D’Souza vs.

          Mohd. Ishfaq reported in AIR 2009 SC 2049.

                       7. Learned counsel for the State has opposed the

          application of the petitioner.

                       8. I have heard and considered the submissions of the

          parties and have gone through the records of the case.

                       9. In the case of Jacob Mathews vs State of Punjab

          and Anr. (supra), the Hon’ble Supreme Court has held in

          paragraph nos. 48 to 52 as follows:-

                                  “48. Conclusions summed up we sum up our
                          conclusions as under:-
Patna High Court CR. MISC. No.16675 of 2016(5) dt.08-01-2026
                                             4/11




                              (1) Negligence is the breach of a duty caused 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. 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 method of
                                  treatment was also available or simply
                                  because a more skilled doctor would not
                                  have chosen to follow or resort to that
Patna High Court CR. MISC. No.16675 of 2016(5) dt.08-01-2026
                                             5/11




                                  practice or procedure which the accused
                                  followed. When it comes to the failure of
                                  taking precautions what has to be seen is
                                  whether those precautions were taken which
                                  the ordinary experience of men has found to
                                  be sufficient; a failure to use special or
                                  extraordinary precautions which might have
                                  prevented the particular happening cannot
                                  be the standard for judging the alleged
                                  negligence. So also, the standard of care,
                                  while assessing the practice as adopted, is
                                  judged in the light of knowledge available
                                  at the time of the incident, and not at the
                                  date of trial. Similarly, when the charge of
                                  negligence arises out of failure to use some
                                  particular equipment, the charge would fail
                                  if   the    equipment    was   not   generally
                                  available at that particular time (that is, the
                                  time of the incident) at which it is suggested
                                  it should have been used.

                              (3) A professional may be held liable for
                                  negligence on one of the two findings:
                                  either he was not possessed of the requisite
                                  skill which he professed to have possessed,
                                  or, he did not exercise, with reasonable
                                  competence in the given case, the skill
                                  which he did possess. 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
Patna High Court CR. MISC. No.16675 of 2016(5) dt.08-01-2026
                                               6/11




                                    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.

                              (4)     The      test    for    determining      medical
                                    negligence as laid down in Bolam's case
                                    [1957] 1 W.L.R. 582, 586 holds good in
                                    its applicability in India.

                               (5)       The      jurisprudential        concept     of
                                    negligence differs in civil and criminal
                                    law. What may be negligence in civil law
                                    may not necessarily be negligence in
                                    criminal law. For negligence to amount to
                                    an offence, the element of mens rea must
                                    be shown to exist. For an act to amount to
                                    criminal       negligence,     the      degree   of
                                    negligence should be much higher i.e.
                                    gross or of a very high degree. Negligence
                                    which is neither gross nor of a higher
                                    degree may provide a ground for action in
                                    civil law but cannot form the basis for
                                    prosecution.

                               (6) The word 'gross' has not been used in
                                    Section 304A of IPC, yet it is settled that
                                    in      criminal         law   negligence        or
                                    recklessness, to be so held, must be of
                                    such a high degree as to be 'gross'. The
                                    expression 'rash or negligent act' as
                                    occurring in Section 304A of the IPC has
                                    to be read as qualified by the word
                                    'grossly'.
Patna High Court CR. MISC. No.16675 of 2016(5) dt.08-01-2026
                                           7/11




                                (7) To prosecute a medical professional for
                                  negligence under criminal law it must be
                                  shown that the accused did something or
                                  failed to do something which in the given
                                  facts and circumstances no medical
                                  professional in his ordinary senses and
                                  prudence would have done or failed to
                                  do. The hazard taken by the accused
                                  doctor should be of such a nature that
                                  the injury which resulted was most likely
                                  imminent.

                                (8) Res ipsa loquitur is only a rule of
                                  evidence and operates in the domain of
                                  civil law specially in cases of torts and
                                  helps in determining the onus of proof
                                  in actions relating to negligence. It
                                  cannot be pressed in service for
                                  determining per se the liability for
                                  negligence      within   the   domain   of
                                  criminal law. Res ipsa loquitur has, if at
                                  all, a limited application in trial on a
                                  charge of criminal negligence.

                          49. In view of the principles laid down
                          hereinabove and the preceding discussion, we
                          agree with the principles of law laid down in
                          Dr. Suresh Gupta's case (2004) 6 SCC 422 and
                          re-affirm the same. Ex abundanti cautela, we
                          clarify that what we are affirming are the legal
                          principles laid down and the law as stated in
                          Dr. Suresh Gupta's case. We may not be
                          understood as having expressed any opinion on
                          the question whether on the facts of that case
                          the accused could or could not have been held
                          guilty of criminal negligence as that question is
Patna High Court CR. MISC. No.16675 of 2016(5) dt.08-01-2026
                                            8/11




                          not before us. We also approve of the passage
                          from Errors, Medicine and the Law by Alan
                          Merry and Alexander McCall Smith which has
                          been cited with approval in Dr. Suresh Gupta's
                          case (noted vide para 27 of the report).

                          Guidelines re: prosecuting medical professionals

                        50. As we have noticed hereinabove that the cases of
                          doctors (surgeons and physicians) being subjected
                          to criminal prosecution are on an increase.
                          Sometimes such prosecutions are filed by private
                          complainants and sometimes by police on an FIR
                          being    lodged      and   cognizance   taken.   The
                          investigating officer and the private complainant
                          cannot always be supposed to have knowledge of
                          medical science so as to determine whether the act
                          of the accused medical professional amounts to
                          rash or negligent act within the domain of criminal
                          law under Section 304-A of IPC. The criminal
                          process once initiated subjects the medical
                          professional    to    serious    embarrassment   and
                          sometimes harassment. He has to seek bail to
                          escape arrest, which may or may not be granted to
                          him. At the end he may be exonerated by acquittal
                          or discharge but the loss which he has suffered in
                          his reputation cannot be compensated by any
                          standards.

                        51. We may not be understood as holding that
                          doctors can never be prosecuted for an offence of
                          which rashness or negligence is an essential
                          ingredient. All that we are doing is to emphasize
                          the need for care and caution in the interest of
                          society; for, the service which the medical
                          profession renders to human beings is probably
                          the noblest of all, and hence there is a need for
Patna High Court CR. MISC. No.16675 of 2016(5) dt.08-01-2026
                                           9/11




                          protecting doctors from frivolous or unjust
                          prosecutions.     Many     a     complainant     prefers
                          recourse to criminal process as a tool for
                          pressurizing     the     medical     professional     for
                          extracting uncalled for or unjust compensation.
                          Such malicious proceedings have to be guarded
                          against.

                        52. Statutory Rules or Executive Instructions
                          incorporating certain guidelines need to be
                          framed and issued by the Government of India
                          and/or the State Governments in consultation
                          with the Medical Council of India. So long as it
                          is not done, we propose to lay down certain
                          guidelines for the future which should govern
                          the prosecution of doctors for offences of which
                          criminal rashness or criminal negligence is an
                          ingredient. A private complaint may not be
                          entertained     unless     the     complainant      has
                          produced prima facie evidence before the Court
                          in the form of a credible opinion given by
                          another competent doctor to support the charge
                          of rashness or negligence on the part of the
                          accused doctor. The investigating officer should,
                          before proceeding against the doctor accused of
                          rash or negligent act or omission, obtain an
                          independent and competent medical opinion
                          preferably from a doctor in government service
                          qualified in that branch of medical practice who
                          can normally be expected to give an impartial
                          and unbiased opinion applying Bolam's test to
                          the facts collected in the investigation. A doctor
                          accused of rashness or negligence, may not be
                          arrested in a routine manner (simply because a
                          charge has been levelled against him). Unless
Patna High Court CR. MISC. No.16675 of 2016(5) dt.08-01-2026
                                           10/11




                          his arrest is necessary for furthering the
                          investigation or for collecting evidence or unless
                          the investigation officer feels satisfied that the
                          doctor proceeded against would not make
                          himself available to face the prosecution unless
                          arrested, the arrest may be withheld.”


                          10. Further, in the case of Martin F. D’Souza vs.

          Mohd. Ishfaq (supra) the Hon’ble Supreme Court has held in

          paragraph no.17 with regard to obtaining expert’s opinion

          before lodging the F.I.R. against a doctor, which is as under:-

                              “117. We, therefore, direct that whenever a
                                  complaint is received against a doctor or
                                  hospital by the Consumer Fora (whether
                                  District, State or National) or by the
                                  Criminal Court then before issuing
                                  notice to the doctor or hospital against
                                  whom the complaint was made the
                                  Consumer Forum or Criminal Court
                                  should first refer the matter to a
                                  competent     doctor    or   committee   of
                                  doctors, specialized in the field relating
                                  to which the medical negligence is
                                  attributed, and only after that doctor or
                                  committee reports that there is a prima
                                  facie case of medical negligence should
                                  notice be then issued to the concerned
                                  doctor/hospital. This is necessary to
                                  avoid harassment to doctors who may
                                  not be ultimately found to be negligent.
                                  We further warn the police officials not
                                  to arrest or harass doctors unless the
            Patna High Court CR. MISC. No.16675 of 2016(5) dt.08-01-2026
                                                       11/11




                                              facts clearly come within the parameters
                                              laid down in Jacob Mathew's case
                                              (supra), otherwise the policemen will
                                              themselves have to face legal action.”


                                      11. From reading of the aforesaid decisions of the

                      Hon’ble Supreme Court, it is clear that it is incumbent upon the

                      police to take an expert’s opinion before registering the F.I.R.

                      against a doctor and any F.I.R. registered against the directions

                      of the Hon’ble Supreme Court is bad in law. The FIR was filed

                      after delay of four and half years.

                                      12. In view of the above discussions, the

                      prosecution of the petitioner is nothing but an abuse of the

                      process of the Court.

                                      13. Accordingly, this application is allowed and the

                      order dated 8.5.2015 passed by learned Chief Judicial

                      Magistrate, Jehanabad in Jehanabad P.S. Case No. 558 of 2014

                      and all consequential proceedings arising out of the aforesaid

                      F.I.R. are hereby quashed in the interest of justice.



                                                         (Sandeep Kumar, J)
Shishir/-

U       T


Continue reading with your account

Sign in to read the full judgment. It’s free.

Sign in to read

Checking your session…

For a signed copy suitable for filing, refer to the court's website.