INFORMATION TO BE SUPPLIED BY THE POLICE IN CASES OF SUSPECTED HUMAN POISONING
(i) Name, sex and age of patient
(ii) Nature of food last taken
(iii) How soon after this meal did the symptoms of poisoning begin?
(iv) Did the patient walk from the place where first taken ill, if so, how far?
(v) Did the patient complain of pain or discomfort?
(vi) Was there purging?
(vii) Was there vomiting?
(viii) Did the patient become unconscious, if so, how soon did this occur,
after the onset of the symptoms?
(ix) Was the patient dizzy or faint?
(x) Did convulsion or cramps occur?
(xi) Was tingling of skin or throat complained of?
(xii) Did the patient talk sensibly or foolishly?
(xiii) Did the patient pick at objects on the ground or bed?
(xiv) Was any treatment adopted, if so, what was its nature?
(xv) Did death occur, and, if so, how soon after the illness began?
(xvi) What poison was supposed to have been used?
Signature of the police official and date
Note- Wherever possible a report by a medical official who has been the case should be added which should contain his opinion as to the nature of the poison used. Any information given by friends and neighbours should be noted.
SOURCE: UP POLICE