Amendment status not verified — confirm the current text below against the official source.
Reasons for termination: (Give total number under each sub-head): (a) Danger to life of the pregnant woman. (b) Grave injury to the physical health of the pregnant woman. (c) Grave injury to the mental health of the pregnant woman. (d) Pregnancy caused by rape. (e) Substantial risk that if the child was born, it would suffer from such physical or mental abnormalities as to be seriously handicapped. (f) Failure of any contraceptive device or method. Signature of the Officer Incharge with date FORM III (See Regulation 5) ADMISSION REGISTER (To be destroyed on the expiry of five years from the dated of the last entry in the register) S.No. Date of Admission Name of Patient Wife/ Daughter Age Religion Address Duration of Pregnancy (1) (2) (3) (4) (5) (6) (7) (8) Reasons on which Pregnancy is terminated Date of termination of Pregnancy Date of discharge of Patient Result and Remarks Name of Registered Medical Practitioner(s) by whom the opinion is formed Name of Registered Medical Practitioner by whom Pregnancy is terminated (9) (10) (11) (12) (13) (14) SERLA GREWAL, Jt. Secy. 14 EXTRACT FROM THE GAZETTE OF INDIA, PART II, SEC. 3 SUB-SEC. (i) Appearing on Page No. 2908-2915 Dated 18-10-75 LokLF; vkSj ifjokj fu;kstu ea=ky; MINISTRY OF HEALTH AND FAMILY PLANNING ¼ifjokj fu;kstu foHkkx½ ubZ fnYyh] 10 vDVwcj 1975 lk-dk-fu- 2543 & dsUæh; ljdkj] xHkZ dk fpfdRlh; lekiu vf/kfu;e] 1971 ¼1971 dk 34½ dh /kkjk 6 }kjk iznÙk 'kfDr;ksa dk iz;ksx djrs gq,] fuEufyf[kr fu;e cukrh gS] vFkkZr%& 1- laf{kIr uke vkSj izkjEHk & ¼1½ bu fu;eksa dk uke xHkZ dk fpfdRldh; lekiu fu;e] 1975 gSA ¼2½ ;s jkti= esa izdk'ku dh rkjh[k ls izo`Rr gksaxsA 2- ifjHkk"kk,a & bu fu;eksa esa] tc rd fd lanHkZ ls vU;Fkk visf{kr ugha] & ¼d½ ßvf/kfu;eÞ ls xHkZ dk fpfdRldh; lekiu vf/kfu;e] 1971 ¼1971 dk 34½ vfHkizsr gSA ¼[k½ ßftyk eq[; fpfdRlk vf/kdkjhÞ ls ftys dk eq[; fpfdRlk vf/kdkjh vfHkizsr gS] pkgs og ftl uke ls Hkh Kkr gksA ¼x½ ßizk:iÞ ls bu fu;eksa ls layXu izk:i vfHkizsr gSA ¼?k½ fdlh LFkku ds laca/k esa ßLokehÞ ls ,slk O;fDr vfHkizsr gS tks vLirky vFkok fDyfud dk iz'kklfud iz/kku gks vFkok tks vU; :i esa mlds dk;Zdj.k vFkok O;oLFkk ds fy, mÙkjnk;h gks] pkgs og ftl uke ls Hkh Kkr gksA ¼³½ ßLFkkuÞ ls ,slk Hkou] rEcw] ;ku ;k ty;ku ;k mldk dksbZ Hkkx vfHkizr gS tks mlesa fdlh ,sls vLirky ;k fDyfud dh] tks fd xHkZ ds lekiu ds fy;s iz;ksx esa yk;k tkrk gS ;k iz;ksx ea yk;s tkus ds fy;s vk'kf;r gS] LFkkiuk ;k mlesa mlds pykus ds fy;s iz;ksx esa yk;k tkrk gksA ¼p½ ß/kkjkÞ esa vf/kfu;e dh /kkjk vfHkizsr gSA 3- vuqHko ;k izf'k{k.k] vkfn - /kkjk 2 ds [k.M ¼?k½ ds iz;kstu ds fy;s] jftLVªhd`r fpfdRlk O;olk;h dks L=h jksx foKku vkSj izlwfr foKku esa fuEufyf[kr esa ls ,d ;k vf/kd dk vuqHko gksuk pkfg, ;k izf'k{k.k izkIr gksuk pkfg,] vFkkZr~%& ¼d½ ,sls fpfdRlk O;olk;h dh n'kk esa] tks bl vf/kfu;e ds izkjEHk esa Bh iwoZ jkT; fpfdRlk jftLVj esa jftLVªhd`r gqvk gks] L=h jksx foKku vkSj izlwfr foKku ds O;olk; esa de ls de rhu o"kZ dk vuqHkoA