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Medical Negligence Complaint

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A calendar date — the day, the month and the year. Dates in a document like this are read against one another, so a date typed here can change what another date is allowed to be.

For example: 16 November 2026

For example: Ludhiana

How will you send this?Needed

For example: The Medical Superintendent, City Care Hospital, Jalandhar

At what address is it sent?Needed

An email address somebody actually reads. Notices under a document like this can be sent to it, so a working one matters more than a tidy one.

For example: ms@citycare.example.com

For example: Gurpreet Singh Dhillon

What is your address?Needed

An email address somebody actually reads. Notices under a document like this can be sent to it, so a working one matters more than a tidy one.

For example: gurpreet.dhillon@example.com

A number somebody can be reached on. Ten digits is the usual Indian form, and a country code in front of it is fine if you want it there.

For example: +91 98150 47731

For example: Complaint about the surgery on Mrs Kamla Devi on 4 October 2026 at City Care Hospital

For example: Mrs Kamla Devi

For example: her son, who was with her throughout

For example: Dr R. K. Verma, surgeon, City Care Hospital, Jalandhar

The admission, diagnosis, tests, procedure and discharge, in order.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: She was admitted on 3 October 2026 with abdominal pain and, after a scan, operated on for gallstones on 4 October 2026. She was discharged on 6 October 2026.

Only what you saw, were told or have in the records. Do not guess at causes.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: Within a day she developed fever and severe pain. We told the staff, who gave painkillers and did not call the surgeon. On 8 October 2026 another hospital found a bile leak and an instrument-related injury and operated again.

The harm, any death, the further treatment, and the effect on the patient.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: A second operation, nineteen further days in hospital, and a long recovery. She is still unable to work.

An amount in rupees. Commas and a ₹ sign are both fine — write it the way you would write it anywhere else, and the document is given the tidy form of it.

For example: 412000

What another doctor has said or written; if none, write "I have not yet obtained an independent medical opinion."

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: The surgeon at the second hospital wrote a discharge summary describing the bile leak and the repair done. I have not yet obtained a separate expert opinion.

Each step: the date, whom you told, and the answer; write "None so far." if none.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: I raised it with the ward nurse on 5 October 2026 and with the hospital manager on 12 October 2026. I asked for the records on 15 October 2026 and have received only the discharge slip.

The inquiry, records, explanation, action or compensation that you want.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: An inquiry by a committee of senior doctors, the complete records, a written explanation, appropriate action, and compensation for the harm and expense.

Number each paper. Send copies and keep the originals.

A long answer. Several lines are fine, and a break you make between paragraphs is the break the document keeps.

For example: 1. Discharge slips of both hospitals. 2. Bills and receipts. 3. Reports of the scans. 4. My written request for the records dated 15 October 2026.

For example: Tejinder Pal Singh

For example: Kuldip Singh Sandhu

An email address somebody actually reads. Notices under a document like this can be sent to it, so a working one matters more than a tidy one.

For example: kuldip.sandhu@example.com

Do you consent to the personal-data handling described in this document?Needed

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MEDICAL NEGLIGENCE COMPLAINT

Complaint about treatment believed to have been careless, with a request for an inquiry

Date: __________, at __________

__________

To: __________, __________

From: __________, __________ (email __________, telephone __________)

Subject: __________

Sir or Madam,

  1. 1. The patient. The patient is __________. I am __________. The treatment was by __________.
  1. 2. The treatment. __________
  1. 3. What I say went wrong. __________ I state these as facts known to me and I do not claim to give a medical conclusion.
  1. 4. The result. __________
  1. 5. Other opinion. __________
  1. 6. What I have already done. __________
  1. 7. What I ask. __________ Please also give me, within the time the law allows, complete certified copies of the treatment records, charts, consent forms, test reports and bills, and tell me in writing the name of the officer handling this complaint.
  1. 8. Keep the records. Please keep all records, films, charts and logs of this treatment safe and do not alter or destroy them.
  1. 9. My other rights. This complaint is without prejudice to my right to take the matter to the District Consumer Commission, to complain to the medical council, and to report to the police if the facts warrant it. This letter does not waive any of my rights.

ENCLOSURES

__________

LEGAL BASIS

Punjab and Chandigarh: Medical treatment for a fee is a service that the Supreme Court has held falls under consumer law, so a complaint of deficiency in service, which includes negligent treatment, can be made to the District Commission under the Consumer Protection Act, 2019 within two years of the cause of action. A complaint of professional misconduct against a doctor can be made to the State Medical Council, or to the National Medical Commission under the law now in force. Negligence causing death may be an offence under the Bharatiya Nyaya Sanhita, 2023, and courts have required a credible medical opinion before a doctor is prosecuted for negligence. A hospital must give a patient or the family copies of the treatment records. No fee is payable on this complaint.

PERSONAL DATA NOTICE

This notice is given under the Digital Personal Data Protection Act, 2023.

The purpose of collecting the personal data in this document is to identify the complainant and the patient, record the treatment and the complaint made about it, and let the hospital, the medical council or other body look into it and reply.

The record will be held by __________ and may be shared with the hospital and the doctor named, the medical council or health authority to whom it is sent, an independent expert if one is consulted, the complainant's advocate, and any Commission, court or police authority that hears the matter.

If the matter does not proceed, the personal data will be retained for 90 days and then erased. If the matter proceeds, the record will be retained for the transaction or authority matter plus 12 months, except where a statute requires a longer named retention period.

A person named in this document may request correction or erasure where the purpose has ended, withdraw consent for future consent-based processing, or raise a grievance by writing to __________. The record-holder should acknowledge and reply within 30 days.

Data minimisation: this document does not collect a full Aadhaar number, an Aadhaar-card copy, a password or bank credentials.

Personal-data instruction: __________.

SIGNATURE

 
 
______________________________
Signature
Complainant: __________
Place: ____________________
Date: ____________________

The rest stays out of view until every answer is in.

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