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Supreme Court of India

NARAYANA HEALTH & ORS.versusTHE STATE OF WEST BENGAL & ORS.

Citation
2026 INSC 481
Decided
12 May 2026
Disposal
Appeal(s) allowed

Holding

The allegations, even if accepted as true, do not disclose any cognizable criminal offence, warranting the quashing of the complaint under Section 482 CrPC.

Summary

The complainant alleged that Narayana Multispecialty Hospital overcharged for an HRCT test that was not performed, delayed the supply of medical records, and that hospital staff threatened him when he raised the issue. He filed a criminal complaint invoking Sections 405, 420 and 120B of the IPC and Section 34 of the West Bengal Clinical Establishments Act against the corporate entity running the hospital, the hospital itself, its chairman and staff. The trial magistrate issued process, but the appellants sought quashing of the complaint under Section 482 of the CrPC, a request that the High Court rejected and remanded for reconsideration of complicity. The Supreme Court examined whether the allegations, even if taken at face value, disclosed any cognizable offence under the statutes invoked. It held that the facts amounted only to a billing dispute and a grievance over record‑supply, which are civil or regulatory matters, not criminal offences, and that the elements of criminal breach of trust, cheating and conspiracy were not satisfied. Consequently, the Court exercised its inherent power under Section 482 to quash the criminal complaint and set aside the High Court’s order.

Issues considered

  • Whether the allegations in the complaint prima facie disclose the commission of any offence under Sections 405, 420, 120B of the IPC and Section 34 of the West Bengal Clinical Establishments Act.
  • Whether the High Court erred in remanding the matter for reconsideration of complicity of the corporate entity and its chairman.
  • Whether the Supreme Court can exercise its inherent jurisdiction under Section 482 CrPC to quash the criminal complaint.

Legislation cited

Headnote

584 : 2026 INSC 481 Narayana Health & Ors. v. The State of West Bengal & Ors. (Criminal Appeal No(s). 2461-2462 of 2026) 12 May 2026 [Pamidighantam Sri Narasimha and Alok Aradhe JJ.] Issue for Consideration Issue arose as regards the correctness of the order passed by the High Court both of whom are in a separate territorial jurisdiction than the Magistrate; and whether the allegations contained in the complaint prima facie disclose commission of a criminal offence. Headnotes† West Bengal Clinical Establishment (Registration, Regulation & Transparency)

Subjects

Summoning orderRemanding the matter for reconsiderationCorporate entity running the hospitalChairmanSeparate territorial jurisdictionCommission of criminal offenceMedical treatmentDiscrepancies in the billsMedical records for insurance reimbursementRevised billDiagnostic testImproper conduct of hospital personnelQuashing of the complaint and the summoning orderComplicity of accused personsCriminal breach of trustCheatingCriminal conspiracy

Judgment

          [2026] 5 S.C.R. 584 : 2026 INSC 481

                Narayana Health & Ors.
                           v.
            The State of West Bengal & Ors.
        (Criminal Appeal No(s). 2461-2462 of 2026)
                          12 May 2026
[Pamidighantam Sri Narasimha and Alok Aradhe JJ.]


                    Issue for Consideration
Issue arose as regards the correctness of the order passed by
the High Court setting aside the summoning order passed by the
Magistrate and remanding the matter, regarding complicity of first
appellant-corporate entity running the co-accused hospital, and the
third appellant-Chairman, both of whom are in a separate territorial
jurisdiction than the Magistrate; and whether the allegations
contained in the complaint prima facie disclose commission of a
criminal offence.

                           Headnotes†
West Bengal Clinical Establishment (Registration, Regulation &
Transparency) Act, 2017 – s.34 – Penal Code, 1860 – ss.405,
420 and 120B – Indian Medical Council (Professional Conduct,
Etiquette and Ethics) Regulations, 2002 – Successful medical
treatment of complainant’s mother and on discharge hospital
issued a bill – Complainant alleged discrepancies in the bills
and sought medical records for insurance reimbursement –
Hospital issued revised bill reflecting adjustment in the
charges, and communicated to the complainant to collect
the refund amount – However, complaint case filed alleging
commission of offences u/ss.405, 420 and 120B, IPC along
with s.34 of the 2017 Act that the hospital had intentionally
included charges for a diagnostic test which had not been
performed, that the relevant medical documents were not
supplied promptly; and that certain hospital personnel
behaved improperly and issued threats when the complainant
questioned the billing and sought clarification regarding the
treatment records, against first appellant-company running
the hospital; second appellant-hospital; third appellant-
Chairman of the company; fourth appellant-representative
[2026] 5 S.C.R.                                                            585

      Narayana Health & Ors. v. The State of West Bengal & Ors.


     attached with the hospital; and third respondent-former
     employee of the hospital – Issuance of process by the
     Magistrate – Appellants sought quashing of the complaint and
     the summoning order u/s.482 CrPC – High Court remand the
     matter to the Magistrate to reconsider complicity of accused
     persons – Correctness:
     Held: Allegations made in the complaint, even if assumed to be
     true in their entirety and accepted at face value, fail to disclose
     the commission of any offence under the Sections invoked against
     the accused persons – Complaint also alleged grievance about
     non-supply or delay in supply of medical records – Allegation
     falls short of a criminal offence and could at the most give rise
     to some kind of a claim in civil law or a statutory requirement
     under the 2017 Act or 2002 Regulations – However, the
     complaint only refers to the commission of offence u/s.34, which
     provides for criminal liability for declared offences and prescribes
     punishments – Legislative scheme clearly establishes that disputes
     concerning billing practices, supply of medical records, or service-
     related grievances are primarily intended to be addressed as
     deficiencies for which compensation is payable, if found to be
     true – Without even indicating as to how and in which manner
     the criminal offence has been committed, not permissible for the
     complainant to proceed with prosecution by just mentioning s.34
     in the complaint – Complainant may have certain service-related
     grievances and these could be addressed u/s.29 of the 2017
     Act – Thus, no criminal offence even u/s.34 of the 2017 Act made
     out – Fit case for exercising jurisdiction u/s.482 CrPC to quash the
     criminal complaint and the High Court failed to exercise such a
     power – Judgment and order passed by the High Court set aside
     and the complaint case quashed. [Paras 11-20].

                              Case Law Cited
     State of Haryana v. Bhajan Lal [1990] Supp. 3 SCR 259 : (1992)
     Supp. 1 SCC 335; Ramesh Chandra Gupta v. State of UP (2022)
     18 SCC 706; Arshad Neyaz Khan v. State of Jharkhand, 2025
     SCC OnLine SC 2058; Sadhupati Nageswara Rao v. State of
     Andhra Pradesh [2012] 6 SCR 1143 : (2012) 8 SCC 547; Prof.
     RK Vijayasarathy v. Sudha Seetharam [2019] 2 SCR 185 : (2019)
     16 SCC 739; Joseph Salvaraj A. v. State of Gujarat [2011] 8 SCR
586                                                             [2026] 5 S.C.R.

                            Supreme Court Reports


       815 : (2011) 7 SCC 59; Ajay Mitra v. State of M.P. [2003] 1 SCR
       622 : (2003) 3 SCC 11; Alpic Finance Ltd. v. P. Sadasivan [2001]
       1 SCR 1059 : (2001) 3 SCC 513; State (NCT of Delhi) v. Navjot
       Sandhu [2005] Supp. 2 SCR 79 : (2005) 11 SCC 600 – referred to.
       Shashank Garg v. State and Ors., 2025 SCC OnLine Del
       2455 – referred to.

                                  List of Acts
       Penal Code, 1860; West Bengal Clinical Establishments
       (Registration, Regulation and Transparency) Act, 2017; Code of
       Criminal Procedure, 1973; Indian Medical Council (Professional
       Conduct, Etiquette and Ethics) Regulations, 2002.

                               List of Keywords
       Summoning order; Remanding the matter for reconsideration;
       Corporate entity running the hospital; Chairman; Separate territorial
       jurisdiction; Commission of criminal offence; Medical treatment;
       Discharge from the hospital; Discrepancies in the bills; Medical
       records for insurance reimbursement; Revised bill; Diagnostic
       test; Hospital personnel behaved improperly and issued threats;
       Issuance of process; Quashing of the complaint and the summoning
       order; Complicity of accused persons; Criminal breach of trust;
       Cheating; Criminal conspiracy.

                              Case Arising From
       CRIMINAL APPELLATE JURISDICTION: Criminal Appeal No(s).
       2461-2462 of 2026
       From the Judgment and Order dated 16.05.2023 of the High Court
       at Calcutta in CRR No. 967 of 2021 and CRAN No. 1 of 2021.

                           Appearances for Parties
       Abhinay, Gagan Gupta, Amici Curiae.
       Advs. for the Appellant(s):
       Nidhesh Gupta, Sr. Adv., Shivendra Singh, Bikram Dwivedi,
       Ms. Prakriti Rastogi, Ms. Aryama Singh Rajput.
       Adv. for the Respondent(s):
       Kunal Mimani.
[2026] 5 S.C.R.                                                                                    587

        Narayana Health & Ors. v. The State of West Bengal & Ors.


                     Judgment / Order of the Supreme Court

                                           Judgment

1.    Leave granted.
2.    The present appeals arise from the judgement and order of the
      High Court1, setting aside the summoning order passed by the
      Judicial Magistrate2 and remanding the matter for reconsideration,
      especially regarding complicity of first appellant, a corporate entity
      running the co-accused hospital, and the third appellant, being the
      Chairman, both of whom are in a separate territorial jurisdiction
      than the Magistrate. The main issue is whether the allegations
      contained in the complaint prima facie disclose commission of a
      criminal offence or not.
3.    The facts relevant for our consideration are as follows. The present
      proceedings arise out of a complaint filed by the second respondent
      (“complainant”) in relation to the medical treatment of his mother,
      Smt. Bina Sen, who was admitted to Narayana Multispecialty
      Hospital, Barasat, Kolkata, on 13.02.2021 for treatment of her
      fractured right femur bone. She underwent a successful surgery
      on 15.02.2021 and remained admitted until her discharge on
      19.02.2021. Upon discharge, the hospital issued a bill for the
      medical services rendered. The complainant paid a sum of Rs.
      1,71,130/- towards the treatment expenses, out of a total billed
      amount of approximately Rs. 1,94,307.84/- after certain discounts
      were applied by the hospital. After the discharge of the patient, the
      complainant approached the hospital authorities on 20.02.2021,
      raising concerns regarding certain discrepancies in the billing and
      seeking copies of medical records and documents relating to the
      treatment of his mother. The complainant was informed about the
      hospital’s grievance redressal mechanism and was advised to follow
      the established procedure for obtaining records and addressing
      billing concerns. Subsequently, the complainant requested copies
      of medical documents and treatment records required for purposes
      of insurance reimbursement.



1    Vide judgement and order dated 16.05.2023 in C.R.R. No. 967 of 2021 with CRAN No. 1 of 2021.
2    Vide order dated 11.03.2021 in Complaint Case No. C-533 of 2021.
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4.     Thereafter, on 23.02.2021, the hospital issued a revised bill reflecting
       an adjustment in the charges, particularly in relation to an HRCT
       test amounting to Rs. 2,500/-, which had earlier been included in
       the bill. According to the hospital, though the said diagnostic test
       was proposed, it was in fact not conducted because the subsequent
       condition of the patient did not warrant it. Consequently, the revised
       bill reflected that the amount of Rs. 2,500/- was liable to be refunded
       to the complainant. The hospital communicated the same to the
       complainant through email on 24.02.2021, requesting him to collect
       the refund amount from the hospital counter or to provide bank details
       to facilitate the transfer of the amount. A reminder communication
       was also sent thereafter, requesting the complainant to collect the
       refund.
5.     The complainant instituted Complaint Case No. C-533 of 2021 before
       the Judicial Magistrate, 2nd Court, Barasat, alleging that the hospital
       had intentionally included charges for a diagnostic test which had
       not been performed, and that relevant medical documents were
       not supplied promptly. The complaint further alleged that certain
       hospital personnel (arrayed in this appeal as the fourth appellant
       and the third respondent) behaved improperly and issued threats
       when the complainant questioned the billing and sought clarification
       regarding the treatment records. On the basis of these allegations,
       offences under Sections 406, 420 and 120B of the Indian Penal
       Code, 1860 (“IPC”), along with Section 34 of the West Bengal
       Clinical Establishments (Registration, Regulation and Transparency)
       Act, 2017 (“2017 Act”), were invoked against the first appellant, the
       company running the hospital; the second appellant, the hospital;
       the third appellant, being the Chairman of the company; the fourth
       appellant, being the representative attached with the hospital; and
       the third respondent, being the former employee of the hospital.
6.     The Magistrate examined the complainant and preliminary statements
       of supporting witnesses under Section 200 of the Criminal Procedure
       Code, 1973 (“CrPC”) and, by order dated 11.03.2021, issued process
       against the accused persons. Aggrieved thereby, the appellants filed
       a petition for quashing the complaint and the summoning order under
       Section 482, CrPC.
7.     The High Court, vide impugned judgement dated 16.05.2023,
       instead of considering the submissions of the appellants that no
[2026] 5 S.C.R.                                                          589

      Narayana Health & Ors. v. The State of West Bengal & Ors.


     offence is made out and that the allegations, even if true, relate to
     a civil dispute, proceeded to remand the matter to the Magistrate to
     reconsider complicity of accused persons living in separate territorial
     jurisdictions. While setting aside the order of summons, the High Court
     without a proper examination of the facts, particularly in the context
     of the offences alleged, made a passing comment that offence has
     been made out. The relevant portion of the impugned judgement is
     reproduced below -
           “I have considered the allegations made in the petition
           of complaint as also the evidence under Section 200 of
           the Code of Criminal Procedure (initial deposition) of the
           complainant Kollol Kumar Sen and his witness Uttam
           Kumar Basu. Both the witnesses apart from the issue
           relating to inflated bill of Rs.2,500/- being charged for a
           test which was not done also specifically alleged in respect
           of accused persons Suvendu Prakash and Anup Bhaduri
           who pushed the complainant into the office and threatened
           him that they are least bothered of such crimes and if the
           same is disclosed he may have to face concern relating
           to safety of his life.
           The aforesaid act of the two accused persons prima facie
           do make out an offence under Section 504 of the Indian
           Penal Code. At this stage, the concern of the Court is to
           see whether the allegations in the complaint do make out
           an offence.
           On an assessment of the whole complaint, I am of the view
           that offence has been made out, however, the complicity
           of all the persons are to be assessed. It is an admitted
           position that the petitioner nos. 1 and 3 are having their
           address at a separate territorial jurisdiction, although
           petitioner no. 1 is an artificial person but petitioner no.3
           is a natural person, his complicity relating to the offence
           is to be assessed on a different yardstick under Section
           200 of the Code of Criminal Procedure prior to issuance
           of process.
           Accordingly, the order dated 11.03.2021 issuing process
           is set aside. Learned Judicial Magistrate, 2nd Court,
           Barasat, North 24 Parganas would assess regarding the
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             complicity of the petitioner no.3 as also petitioner no.1
             before issuing process.
             The revisional application being CRR 967 of 2021 is partly
             allowed.”
8.     Aggrieved, the appellants have approached this Court and by our order
       dated 28.08.2023, while issuing notice in the Special Leave Petition,
       this Court also stayed further proceedings before the Magistrate.
9.     We heard Mr. Nidhesh Gupta, Senior Advocate for the appellants,
       and as none appeared on behalf of the complainant, we requested
       Mr. Gagan Gupta, Senior Advocate, to assist us as an amicus curiae.
10. The appellants had approached the High Court against issuance of
    process by the Magistrate by invoking its inherent jurisdiction under
    Section 482 of the CrPC. The circumstances in which the High Court
    can exercise its power and jurisdiction under Section 482 to quash
    criminal proceedings is well articulated in a number of precedents,
    commencing with the celebrated decision of this Court in State of
    Haryana v. Bhajan Lal,3 the relevant excerpt of which is as follows -
             “1. Where the allegations made in the first information
             report or the complaint, even if they are taken at their
             face value and accepted in their entirety do not prima
             facie constitute any offence or make out a case against
             the accused.
             2. Where the allegations in the first information report
             and other materials, if any, accompanying the FIR do not
             disclose a cognizable offence, justifying an investigation
             by police officers under Section 156(1) of the Code except
             under an order of a Magistrate within the purview of Section
             155(2) of the Code.
             3. Where the uncontroverted allegations made in the FIR
             or complaint and the evidence collected in support of the
             same do not disclose the commission of any offence and
             make out a case against the accused.



3    (1992) Supp. 1 SCC 335; Ramesh Chandra Gupta v. State of UP, (2022) 18 SCC 706; Arshad Neyaz
     Khan v. State of Jharkhand, 2025 SCC OnLine SC 2058; Shashank Garg v. State and Ors., 2025 SCC
     OnLine Del 2455.
[2026] 5 S.C.R.                                                                              591

       Narayana Health & Ors. v. The State of West Bengal & Ors.


             4. Where, the allegations in the FIR do not constitute a
             cognizable offence but constitute only a non-cognizable
             offence, no investigation is permitted by a police officer
             without an order of a Magistrate as contemplated under
             Section 155(2) of the Code.
             5. Where the allegations made in the FIR or complaint
             are so absurd and inherently improbable, on the basis of
             which no prudent person can ever reach a just conclusion
             that there is sufficient ground for proceeding against the
             accused.
             6. Where there is an express legal bar engrafted in any
             of the provisions of the Code or the concerned Act (under
             which a criminal proceeding is instituted) to the institution
             and continuance of the proceedings and/or where there
             is a specific provision in the Code or the concerned Act,
             providing efficacious redress for the grievance of the
             aggrieved party.
             7. Where a criminal proceeding is manifestly attended
             with mala fide and/or where the proceeding is maliciously
             instituted with an ulterior motive for wreaking vengeance
             on the accused and with a view to spite him due to private
             and personal grudge.”
11. The complainant alleged commission of offences under Sections 405,
    420 and 120B, IPC in his complaint. For criminal breach of trust under
    Section 405, IPC, it is necessary that there must be entrustment of
    property to the accused; such entrustment must create a fiduciary
    obligation regarding the handling or use of that property; and the
    accused must have dishonestly misappropriated or converted the
    entrusted property.4 Applying these principles to the present case, the
    allegations in the complaint indicate that the amount of Rs. 2,500/-
    was paid by the complainant as part of the hospital bill towards
    charges for an HRCT test, at the time of discharge of the patient.
    The complaint does not contain any averment that the amount in
    question was entrusted to the hospital to be held or utilised for a
    fiduciary or trust-based purpose, nor does it refer to any legal or


4    Sadhupati Nageswara Rao v. State of Andhra Pradesh, (2012) 8 SCC 547; Prof. RK Vijayasarathy v.
    Sudha Seetharam, (2019) 16 SCC 739.
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                                  Supreme Court Reports


       contractual stipulation governing the manner in which such amount
       was required to be dealt with or any other averment to show as
       to how Section 405, IPC is made out. Furthermore, upon mistake
       being pointed out, the hospital had offered to refund the amount
       wrongly charged. Thus, in the absence of entrustment, dishonest
       misappropriation, or violation of a fiduciary obligation, foundational
       ingredients of the offence of criminal breach of trust as enshrined
       in Section 405, IPC are not satisfied.
12. For the offence of cheating under Section 420, IPC there must be
    deception on part of the accused from the very beginning; such
    deception must lead to fraudulent or dishonest inducement; and the
    accused must have had dishonest intention at the time the inducement
    was made.5 The allegation in the complaint is merely that the bill issued
    by the hospital reflected charge for a test that was not performed.
    Once the issue of wrong charge was raised by the complainant,
    the hospital communicated its decision to refund the amount. The
    discrepancy in billing appears to be more of an inadvertence, than
    a case of dishonest intention on part of the hospital. We are of the
    opinion that the allegation of cheating is completely misplaced.
13. For the offence of criminal conspiracy under Section 120B, IPC there
    must be a prior agreement or meeting of minds for commission of
    an illegal act or a lawful act by illegal means.6 Moreover, where the
    foundational offences are not disclosed, a charge of conspiracy
    premised upon those offences ordinarily cannot stand independently.7
    Since the allegations regarding offences of criminal breach of trust
    and cheating are virtually non-existent, the incidental allegation of
    criminal conspiracy is unsustainable. Furthermore, the complaint
    named not just the hospital and its staff but also the corporate
    entity running it and its Chairman. There is nothing in the complaint
    indicating a prior agreement, concerted plan, or meeting of minds
    among the accused persons to commit an unlawful act.
14. The complainant had also alleged improper conduct by the fourth
    appellant and the third respondent, employees of the hospital,
    as has been noticed in the impugned judgement as well. The


5   Joseph Salvaraj A. v. State of Gujarat, (2011) 7 SCC 59; Ajay Mitra v. State of M.P., (2003) 3 SCC 11;
    Alpic Finance Ltd. v. P. Sadasivan, (2001) 3 SCC 513.
6   State (NCT of Delhi) v. Navjot Sandhu, (2005) 11 SCC 600.
7   R.K. Vijayasarathy (supra).
[2026] 5 S.C.R.                                                       593

      Narayana Health & Ors. v. The State of West Bengal & Ors.


     allegations in the complaint relate to the alleged statements made
     by them discouraging the complainant from pursuing the matter any
     further. There is nothing more to this averment and it is important to
     note that neither the complaint nor the summoning order refers to
     commission of an offence under Section 503, IPC. The High Court
     while remanding the matter, on its own makes an observation that,
     “the aforesaid act of the two accused persons prima facie do make
     out an offence under Section 504 of the Indian Penal Code” and that
     “offence has been made out”. We are of the opinion that there was
     no occasion for the High Court to construe the general averments
     and elevate them to the commission of an offence under Section
     504 and then observe that offence has been made out.
15. In view of the above discussion, we are of the opinion that the
    allegations made in the complaint, even if assumed to be true in their
    entirety and accepted at face value, fail to disclose the commission of
    any offence under the Sections invoked against the accused persons.
16. The complaint also alleged grievance about non-supply or delay in
    supply of medical records. We are of the opinion that the allegation
    falls short of a criminal offence and could at the most give rise to
    some kind of a claim in civil law or a statutory requirement under
    West Bengal Clinical Establishment (Registration, Regulation &
    Transparency) Act, 2017 or the Indian Medical Council (Professional
    Conduct, Etiquette and Ethics) Regulations, 2002. However, the
    complaint only refers to the commission of offence under Section 34
    of the West Bengal Clinical Establishment (Registration, Regulation &
    Transparency) Act, 2017.
17. The above referred 2017 Act is intended to regulate the functioning
    of clinical establishments within the State, ensure transparency
    in medical services, standardise treatment protocols, and provide
    mechanisms for grievance redressal in matters relating to patient
    care, billing practices and service standards. Duties of clinical
    establishments such as the appellant hospital is declared in Section
    7(3) of the 2017 Act, which is as follows:
           “7. Conditions for registration and license:
           ….
           (3) Every license granted under sub-section (1) shall be
           subject to the following terms and conditions:—
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       (c) that the clinical establishment shall not resort to any
       unethical or unfair trade practices including unfair pricing
       for different services;
       (e) that such information is to be displayed and in such
       manner as may be prescribed;
       (g) that such medical and other reports, records and
       documents shall be made available to the licensing
       authority or the service recipient or his representative on
       demand, as may be prescribed;
       (l) that every clinical establishment shall maintain a Public
       Grievance Cell for lodging of any complaint regarding
       treatment, improper billing, deficit in service, attending
       staffs’ behaviour etc. and for redressal thereof;
       (m) that every clinical establishment shall set up a proper
       Help Desk to maintain regular and proper communication
       with the service recipients or their representatives regarding
       treatment, recipient’s condition, regular billing etc. and for
       their proper counseling;
       (n) that every clinical establishment shall immediately after
       coming into force of this Act, implement e-Prescription,
       maintain Electronic Medical Records and provide a set
       of all medical records and treatment details along with
       the discharge summary at the time of discharge of the
       service recipient;
       (o) that every clinical establishment shall strictly follow the
       fixed rates and charges including the Package Rates for
       investigation, bed charges, operation theatre procedures,
       Intensive Care, ventilation, implants, consultation and
       similar tests and procedures, and any additional treatment
       or procedure shall not attract additional charges over and
       above such fixed rates and charges including the Package
       Rates;
       (p) that every clinical establishment shall provide proper
       estimates for treatments not covered in fixed rates and
       charges including the Package Rates, to the service
       recipients or representative of service recipients during
[2026] 5 S.C.R.                                                                                          595

        Narayana Health & Ors. v. The State of West Bengal & Ors.


              initiation or due course of treatment, and final bills shall
              not exceed estimates by a certain percentage, as may be
              prescribed by the Government;
              …”
18. The 2017 Act provides remedies against violations and excesses by
    clinical establishments by establishing an adjudicatory mechanism.
    Section 35 provides for the appointment of an Adjudicating Authority
    to address grievances concerning patient care services, billing
    irregularities, non-supply of records, and service deficiencies. Under
    Section 36, the West Bengal Clinical Establishment Regulatory
    Commission is established to supervise, adjudicate, and compensate
    the consumers/patients.
19. While Section 29 provides for imposition of major and minor penalties
    for deficiencies8, Section 34 provides for criminal liability for declared
    offences and prescribes punishments.9 In other words, the legislative
    scheme clearly establishes that disputes concerning billing practices,
    supply of medical records, or service-related grievances are primarily
    intended to be addressed as deficiencies for which compensation is
    payable, if found to be true. Without even indicating as to how and
    in which manner the criminal offence has been committed, it is not
    permissible for the complainant to proceed with prosecution by just
    mentioning Section 34 in the complaint. We do not deny the fact
    that that complainant may have certain service-related grievances


8   “29. Minor and major deficiencies:
    (1) Whoever contravenes any provision of this Act or any rule made thereunder resulting in such minor
    deficiencies, that do not pose any imminent danger to the health and safety of any patient or public and
    can be rectified within a reasonable time, shall be liable to a penalty which may extend to fifty thousand
    rupees.
    (2) Whoever contravenes any provision of this Act or any rule made thereunder resulting in such major
    deficiencies, that pose an imminent danger to the health and safety of any member of the public or
    patient and which cannot be rectified within a reasonable time, shall be liable to a penalty which may
    extend to ten lakh rupees.
    Explanation.—For the purpose of this section “minor deficiencies and major deficiencies” shall have such
    meaning as may be prescribed.”
9   “34. Offences and punishments:
    (1) Notwithstanding anything contained in this Act, if any person—
    (a) violates the conditions of registration and license under this Act, he shall be liable for imprisonment
    which may extend to three years; or
    (b) causes death or injury of patient or service recipients due to negligence, shall be liable to punishment
    as provided in the Indian Penal Code, 1860.
    (2) The prosecution, trial etc. for the purpose of sub-section (1) shall be as per the provision contained
    under the Code of Criminal Procedure, 1973.”
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       and these could be addressed under Section 29 of the 2017 Act.
       In view of the above, we are of the opinion that no criminal offence
       even under Section 34 of the 2017 Act is made out.
20. Having considered the matter in detail, we are of the opinion that
    this is a fit case for exercising jurisdiction under Section 482 of CrPC
    to quash the criminal complaint and we are equally of the opinion
    that the High Court has failed to exercise such a power. In this view
    of the matter, we allow these appeals and set aside the judgement
    and order passed by the High Court in C.R.R. No. 967 of 2021 with
    CRAN No. 1 of 2021, dated 16.05.2023 and quash the Complaint
    Case No. C-533 of 2021.
21. Quashing of the above referred criminal complaint will have no
    bearing on the civil or statutory remedies that the complainant may
    exercise in accordance with law.
22. We place on record the assistance rendered by Mr. Gagan Gupta,
    learned Senior Advocate; along with Mr. Abhinay Sharma, Advocate
    on Record; Ms. Kirti Vyas, Advocate; and Mr. Kartik Rajpurohit,
    Advocate.

       Result of the case: Appeals allowed.




       †
           Headnotes prepared by: Nidhi Jain


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NARAYANA HEALTH & ORS. versus THE STATE OF WEST BENGAL & ORS. — 2026 INSC 481 - Legal Desk AI