Legal Procedure
Legal Procedure
D. Supreme Court:
The highest appellate court in Pakistan.
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Types of Evidence and Principles The doctor may face — Temporary or permanent removal
from the PM&DC registry, barring them from medical
A. Types of Evidence prac ce. Fines or other penal es.
Oral Evidence: Tes mony given by a person directly, based
on their own sensory experience. IV. Professional Death Sentence:
Documentary Evidence: Wri en or recorded evidence. A term referring to the permanent removal of a doctor’s
Circumstan al Evidence: Evidence based on inference name from the PM&DC register, meaning the doctor can
from related facts. no longer prac ce medicine in Pakistan.
Hearsay Evidence: Indirect evidence not valid in court.
V. Penal Erasure:
B. Collec on of Evidence Temporary removal of a doctor’s name from the P.M.D.C
Evidence collected from the scene of the crime, vic m, or register due to unethical ac ons or misconduct.
suspect. “Eyes can’t see what the mind does not know.”
Di erence Between:
C. Key Principles of Evidence Law
Evidence must be con ned to the ma ers in issue. Dying Deposi on:
Hearsay evidence is not admi ed. The best available A statement made by a person under oath in the presence of a
evidence must be presented. magistrate when the person believes they are near death.
It is recorded formally and holds legal weight in court as
D. Categories of Evidence evidence.
Oral Evidence — Must be direct and given by the person
who witnessed the event. Under Sec on 60 of the E.g. Vic m of a Violent Crime: A person who has been severely
Evidence Act, this includes only what was seen, heard, or injured in an assault believes they may not survive. They give a
perceived personally. detailed, sworn statement to a magistrate, describing the
a ack, iden fying the a acker, and recoun ng any speci c
E. Exemp ons for Direct Oral Tes mony events that led to their injuries. This tes mony can later be
Excep on in Direct oral tes mony refer to situa ons used as evidence in court if they pass away from their injuries.
where indirect evidence can be used instead of a witness
giving direct tes mony in court — For example, a Dying Declara on:
radiologist (expert) who performed the CXR (as his reports A dying declara on is a statement made by someone who
is an evidence of his work) believes they are about to die, explaining how or why they
ended up in a life-threatening situa on. Even though this type
F. Documentary Evidence of statement is not made under oath, it can s ll be used as
Primary Documents: Original documents. evidence in court. The idea is that a person near death is
Secondary Documents: Cer ed copies or photocopies of unlikely to lie, as they know they have nothing to gain.
the originals.
Medical Cer cates: Examples include sickness, birth, E.g. Terminal Illness and Confession: Someone on their
death cer cates, and cer cates of unsound mind deathbed from a terminal illness confesses, “I was the one who
(issued by a registered medical prac oner). set the re.” Here, the dying person reveals key informa on
about a past crime, which can later be used in court because
Reports: it’s believed that a person near death is unlikely to lie.
Medico-Legal Reports: Created by doctors for police or
judicial inquiries in cases of injury, sexual o enses,
poisoning, etc.
Postmortem Reports: Wri en in cases of unnatural,
suspicious, or sudden deaths, usually ini ated by
governmental inves ga ve agencies.
Rules for Doctors Giving Evidence in Court: 2. For Research and Teaching: Medical informa on may be
- Be honest and impar al; evidence should be clear, relevant, used for research or educa onal purposes, but the
and reliable. pa ent’s iden ty should remain con den al unless the
- Dress appropriately, be punctual, and show respect for the pa ent has given explicit consent.
court.
- Speak clearly and avoid technical jargon (use lay terms like 3. Court Orders: If a court orders the disclosure of medical
"bleeding" for hemorrhage). informa on, the doctor is obligated to comply, but they
- Be brief, answer with "yes" or "no" when possible, and must report this through the Medical Director to ensure it
explain only when necessary with the judge’s permission. follows proper legal channels.
- Refresh memory using reports previously submi ed to the
court.
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4. For Public Health: Medical informa on may be disclosed Legal Presump ons
for public health reasons, such as no fying authori es De ni on: Assump ons made without proof in certain
about no able diseases like tuberculosis (TB). The aim is situa ons.
to protect public safety.
Example: If a person is missing for over seven years, they may
5. Family of an Incompetent Pa ent: If a pa ent is mentally be presumed dead.
incapable of making decisions, the doctor may disclose
informa on to the pa ent’s family for the pa ent’s Presump on of Sanity — The law assumes that every person
welfare. is mentally sound and responsible for their ac ons, unless
proven otherwise.
6. When a Pa ent Poses a Public Safety Risk: If a pa ent is a
danger to public safety (e.g., a person with a serious Example: Suppose Mr. A is accused of murdering Mr. B. The
mental disorder who might harm others), medical court will assume that Mr. A was mentally sound when he
informa on may be disclosed to prevent harm. commi ed the murder. If Mr. A's defense lawyer claims that he
was insane at the me of the crime, the defense would have to
7. Disclosure by Forensic Medical Examiner: A forensic provide evidence (like a medical evalua on) to prove that Mr.
medical examiner has the same duty of con den ality as A was not in a sound state of mind when he killed Mr. B.
any other doctor. When examining a medico-legal case
(such as a vic m or an alleged perpetrator at the request Presump on of Innocence — In a criminal case, the law starts
of the police), only informa on relevant to the case should with the belief that the person accused of the crime is
be shared. Informa on that does not relate to the legal innocent. This means they are treated as not guilty un l
inves ga on must remain con den al. someone proves they are guilty.
Evidence Act and Competence to Tes fy What the Defense Does: The defense lawyer doesn’t need to
Sec on 118: All persons can tes fy unless they lack su cient prove that the accused is innocent. Instead, they just need to
understanding or mental ability to comprehend ques ons and show that the prosecu on hasn't proven its case beyond a
respond accurately. reasonable doubt. They can do this by raising doubts or
poin ng out weaknesses in the evidence presented by the
prosecu on.
The defense could argue that Mr. A has a solid alibi, meaning
he was somewhere else at the me of the murder.
If reasonable doubt remains—meaning that the evidence
doesn’t conclusively prove Mr. A’s guilt beyond a reasonable
doubt—then Mr. A must be acqui ed (found not guilty).