Medico-Legal Certificate Format

A Medico-Legal Certificate typically includes the following elements:

1. Header: Includes the name of the issuing hospital or medical institution, address, and contact information.
2. Title: Clearly states “Medico-Legal Certificate.”
3. Patient Information: Name, age, sex, and address of the patient.
4. Date and Time of Examination: When the examination was conducted.
5. Findings: Detailed description of injuries or conditions observed, including location, size, and nature of wounds or injuries.
6. Diagnosis: Medical opinion on the cause and nature of the injuries.
7. Certifying Physician: Name, signature, and license number of the physician who conducted the examination.
8. Date of Issuance: When the certificate was issued.

Medico-Legal Judicial Affidavit Format

JUDICIAL AFFIDAVIT

I, [Name of Medico-Legal Officer], of legal age, with office address at [Office Address], after having been duly sworn in accordance with law, do hereby depose and state:

1. Personal Information
   • Name: [Full Name]
   • Age: [Age]
   • Residence or Business Address: [Address]
   • Occupation: Medico-Legal Officer
2. Examination Details
   • Name and Address of Lawyer Conducting Examination: [Lawyer’s Name and Address]
   • Place of Examination: [Location]
3. Oath and Awareness
   • I am answering the questions asked of me fully conscious that I do so under oath and that I may face criminal liability for false testimony or perjury.
4. Questions and Answers
   • Q1: [Question 1] A1: [Answer 1]
   • Q2: [Question 2] A2: [Answer 2]
   • (Continue with all relevant questions and answers, ensuring they are consecutively numbered)
5. Documentary Evidence
   • Attached hereto are the following documents which I have identified and authenticated:
     • Exhibit A: [Description of Document]
     • Exhibit B: [Description of Document]
   • I warrant that the copies attached are faithful reproductions of the originals.
6. Signature and Jurat
   • [Signature of Medico-Legal Officer]
   • [Printed Name of Medico-Legal Officer]

SUBSCRIBED AND SWORN to before me this [Date] at [Location], affiant exhibiting to me his/her [ID Type and Number].

[Signature of Notary Public] [Printed Name of Notary Public] [Notarial Commission Number]