Ramesh's mother went into a small hospital for a routine gallbladder surgery. She came out in a coma, and died four days later. The family was given no clear answer. The discharge summary hinted at a complication, but nobody explained what went wrong. Ramesh filed a written complaint with the State Medical Council, the body that licences and disciplines doctors in his state. He waited six months. No reply. He called, he visited, he wrote again. Silence. He had a right to know what the Council did with his complaint — but the Council would not tell him on its own. This is where the Right to Information Act becomes the common man's lever: it forces a silent public authority to put its file on the table.
This guide shows, step by step, how a citizen can use RTI to drag a stuck medical-negligence complaint out of a State Medical Council, which questions to ask, which fee to pay, and how to climb the appeal ladder when the Council still stays quiet.
Direct answer. File one RTI to the State Medical Council and one to the Chief Medical Officer of the district hospital. Ask for the complaint registration number, the enquiry committee, the deposition records, the action taken, and the appeal status. The Council is a public authority under Section 2(h) of the RTI Act 2005 — the Bombay High Court confirmed this in Bombay HC — Medical Council is a public authority under RTI. For a broader primer on the Act itself, see RTI Act 2005 — complete guide.
| About this article | |
|---|---|
| Author | RTI Wiki Editorial team — legal researchers and RTI practitioners |
| Reviewed by | Editorial team with experience in medical-consumer litigation |
| Last reviewed | 10 July 2026 |
| Sources | National Medical Commission Act 2019; NMC RMP Professional Conduct Regulations 2022; RTI Act 2005; Supreme Court and High Court judgments cited inline |
| Legal basis | Section 2(h) and Section 6(1) of the RTI Act 2005; Sections 39–45 of the NMC RMP Regulations 2022 |
Medical negligence is a breach of the duty of care that a doctor or hospital owes to a patient, causing injury or death. In Indian law, negligence by a medical professional is judged by the Bolam test (from Bolam v. Friern Hospital Management Committee, 1957), which the Supreme Court adopted in Jacob Mathew v. State of Punjab, (2005) 6 SCC 1: a doctor is not negligent if they acted in accordance with a practice accepted as proper by a responsible body of medical men skilled in that particular art.
RTI does not diagnose negligence — it surfaces the records that prove whether a Council examined your complaint and what it found. When a Council stays silent for months, the citizen is stuck: no order, no reason, no closure. RTI forces the file open so you can see the complaint number, the enquiry committee, the depositions, and the final order. For an overview of how RTI works across government health institutions, see RTI for government hospitals and hospital negligence RTI.
The medical regulator you deal with today is the National Medical Commission, set up under the National Medical Commission Act, 2019 (Act No. 30 of 2019) — see NMC Act 2019 on India Code. This Act repealed the old Indian Medical Council Act, 1956 and dissolved the Medical Council of India; the IMC Act 1956 stopped operating on 25 September 2020 when the NMC Act came fully into force. So if you see an old document that talks about the Medical Council of India or the IMC Act, treat it as history — the live law is the NMC Act 2019.
Under the NMC structure, day-to-day complaints against a doctor are filed with the State Medical Council first. The Ethics and Medical Registration Board (EMRB) is the autonomous board within the NMC that regulates professional conduct and hears appeals against State Medical Council orders. The NMC also runs an online complaints portal at NMC Complaints Portal covering ethics, ragging and grievances. The full set of NMC regulations, including the RMP Professional Conduct Regulations 2022, is at NMC Rules and Regulations.
The link between medical negligence and consumer law comes from Indian Medical Association v. V.P. Shantha, (1995) 6 SCC 651 — the Supreme Court held that medical services are a service under the Consumer Protection Act, so a patient can also approach the Consumer Forum. The civil-vs-criminal line for doctors was drawn in Jacob Mathew v. State of Punjab, (2005) 6 SCC 1: a doctor faces criminal prosecution under Section 304A only for gross negligence, and a prosecution needs a credible expert opinion. For a deeper look at the criminal route, see Medical negligence — when a doctor faces a criminal case. The PIB announcement of the NMC's establishment is at PIB: National Medical Commission constituted (PIB PRID 1595956).
Not every bad outcome is negligence. Understanding the type helps you frame precise RTI questions and know which authority holds which record. The table below compares the most common categories:
| Negligence type | What it means | Example | Where the complaint goes | RTI target authority |
|---|---|---|---|---|
| Surgical error | Wrong-site surgery, instrument left inside, botched procedure | Sponge left in abdomen after Caesarean | State Medical Council + Consumer Forum | State Medical Council / CMO |
| Diagnostic error | Misdiagnosis or delayed diagnosis leading to harm | Cancer missed on X-ray for 2 years | State Medical Council + Consumer Forum | State Medical Council |
| Medication error | Wrong drug, wrong dose, or dangerous interaction | Overdose of anaesthetic causing brain damage | State Medical Council + Drug Controller | State Medical Council |
| Anaesthesia error | Improper administration or monitoring during sedation | Spinal anaesthesia given to wrong patient | State Medical Council | State Medical Council |
| Maternity / delivery negligence | Failure to perform timely C-section, mishandled instrumental delivery | Cerebral palsy from delayed delivery | State Medical Council + Consumer Forum | State Medical Council / CMO |
| Post-operative negligence | Failure to monitor, infection control failure, wrong discharge | Sepsis from unmonitored surgical wound | State Medical Council + Consumer Forum | State Medical Council / CMO |
| Laboratory / diagnostic fraud | Fake or manipulated test reports | Pathology lab issues report without running test | State Medical Council + Drug Controller | See medical test lab fraud guide |
| Consent violation | Procedure performed without informed consent | Additional organ removed without permission | State Medical Council + Consumer Forum | State Medical Council |
Tip. The type of negligence determines which records to ask for. For surgical errors, request operation-notes, OT register entries, and the consent form (see surgery consent form not provided). For diagnostic errors, ask for radiology reports and second-opinion records. For post-operative negligence, demand the nursing charts and the discharge summary (see discharge summary correction guide).
RTI works best when you already have a complaint on record and a number to quote. The complaint ladder, built from the NMC Registered Medical Practitioner (Professional Conduct) Regulations, 2022, is:
As a complainant, you are normally not the one appealing, but you have a right to know whether an appeal has been filed and where it stands. That is exactly what RTI extracts.
Time-barred? If your complaint is older than 2 years, the Council may refuse to hear it on limitation. Ask in your RTI whether the complaint was held time-barred and on what date.
A State Medical Council rarely writes back to the complainant on its own. It will register the complaint, form an enquiry committee, take depositions, pass an order, and then wait for the doctor to appeal. The complainant is left in the dark. RTI turns the lights on. With one application you can force the Council to disclose:
This is proof. Once you hold the Council's replies, you can carry them to the Consumer Forum, to the police for a criminal complaint, or to the High Court in a writ if the Council has done nothing. The CIC has ruled that medical records of a deceased patient are disclosable to the legal heir under RTI — see CIC: medical records of a deceased patient. The CIC has also confirmed that inspection of medical records is a valid RTI right — see CIC: inspection of medical records.
Step 1 — Identify the public authority. Your two targets are the State Medical Council (which heard the ethics complaint) and the Chief Medical Officer of the district hospital (who holds the hospital's internal inquiry file). Both are public authorities under Section 2(h) of the RTI Act 2005. To find the correct PIO, follow the method in how to find the PIO.
Step 2 — Draft the application under Section 6(1). Section 6(1) of the RTI Act 2005 is the correct provision: a person who wants information must make a request in writing to the Public Information Officer. Keep one application to one authority — do not mix the Council and the CMO in a single letter. For drafting tips, see how to write an effective RTI application.
Step 3 — Pay the right fee. This is where many applicants go wrong. The flat Rs.10 fee comes from the Right to Information Rules, 2012 (Rule 3, G.S.R. 603(E) dated 31 July 2012), and it applies to CENTRAL public authorities. State Medical Councils are STATE public authorities, so the fee follows each state's own RTI rules. For example, the Kerala State Medical Council charges Rs.10; some states charge Rs.20 or a different amount. Check your state's fee structure in the state-wise RTI fees directory. BPL applicants are exempt in every case — see BPL applicants pay zero fee.
Step 4 — Submit. Hand it over the counter and take a receiving stamp, or send it by registered post with the receipt kept safe. The Council must reply within 30 days. For the standard format, use RTI Application Form A.
Step 5 — First appeal if the reply is missing or evasive. If 30 days pass with no reply, or the reply is incomplete, file a First Appeal with the First Appellate Authority named in the Council's RTI manual. Every public authority must designate a PIO and a First Appellate Authority — the Bombay High Court confirmed this for medical councils. See file a first appeal under Section 19 or the broader RTI first appeal guide.
Step 6 — Second appeal to the Information Commission. If the First Appeal also fails, file a Second Appeal to the State Information Commission. See file a second appeal to CIC/SIC or the second appeal guide. From there, a citizen can move the High Court in a writ — see RTI writ petition under Article 226.
To: The Public Information Officer,
[State Medical Council name and address]
Subject: Application under Section 6(1) of the RTI Act, 2005 —
Status of medical negligence complaint No. [your complaint no.],
dated [date], concerning Dr. [name], [hospital].
1. Please furnish the complaint registration number and date.
2. Please state whether an enquiry committee was constituted,
give the names of its members, and the dates of its sittings.
3. Please provide copies of the depositions and documents
placed before the enquiry committee.
4. Please state the final order passed and the action taken
on the doctor (reprimand, suspension, penalty, removal, or dismissal).
5. Please state whether any appeal has been filed to the EMRB or NMC,
and the present status of that appeal.
6. If the complaint was held time-barred under Section 39 of the
NMC RMP Professional Conduct Regulations 2022, please state the
date and the reason recorded.
7. Please furnish a certified copy of the enquiry committee report
and the Council's final order.
Fee: Rs.[amount as per your state's RTI rules] by [IPO/cash/Indian Postal Order].
Applicant: [name], [address], [phone].
Use a second copy, retitled for the Chief Medical Officer, to ask the hospital side: whether an internal inquiry was ordered, who conducted it, what findings were recorded, and what action was taken against the staff concerned. For the government-hospital-specific version, see RTI for government hospital records and the sample application at sample RTI for hospital records.
Once your RTI reaches the PIO, the clock is 30 days under Section 7(1) of the RTI Act 2005. If the information concerns the life or liberty of a person, the deadline shrinks to 48 hours under Section 7(1) proviso — though this provision is rarely triggered for retrospective complaint-enquiry records. If 30 days pass with no reply, the PIO is deemed to have refused the request — see deemed refusal under Section 7(2). At that point you file a First Appeal within 30 days of the deemed refusal.
The CIC has imposed penalties on PIOs for delay in disclosing medical-related information — see CIC: penalty and directions against NMC. The High Court of Madras has also upheld penalties for PIOs who delay medical records — see Madras HC: PIO penalty for delay.
RTI is a fact-finding tool, not the remedy itself. The remedy sits in three parallel lanes:
Yes. Patients and legal heirs have a right to their own medical records under both the Consumer Protection Act (as laid down in consumer commission rulings) and the RTI Act 2005. Government hospitals are public authorities, so their records — including discharge summaries, operation notes, investigation reports, and ICU monitoring charts — are disclosable under Section 6(1) subject to Section 8 exemptions. For private hospitals, the route is the Consumer Protection Act's “documents” clause, not RTI.
The CIC ruled in SIC TS: RTI on hospital billing that billing records are disclosable. For guidance on accessing and correcting medical records, see medical records missing after discharge, medical record correction refused, and the RTI to check a hospital's licence. For Clinical Establishment Act compliance, see RTI for Clinical Establishment Act compliance.
Q: Civil or criminal negligence — which is which?\\
Civil negligence is a failure of reasonable care and leads to compensation in the Consumer Forum or civil court. Criminal negligence is gross and rash, and can lead to prosecution under Section 304A IPC / Section 106 BNS. RTI helps both lanes because it pulls out the Council's record either way.
Q: State Medical Council or NMC — who hears my complaint?\\
The complaint is filed with the State Medical Council first. The EMRB inside the NMC hears appeals. For cross-state issues or where the Council sits idle, the NMC portal at nmc.org.in/complaints is the parallel window.
Q: What if the Council says it has no file in my name?\\
Ask again by RTI for the complaint register entries around the date you filed. A missing file is itself a disclosure — take it to the Information Commission and then the High Court. For escalating to the High Court, see writ petition under Article 226.
Q: Can I get the depositions of the enquiry committee?\\
Yes, under Section 6(1), subject only to the exemptions in Section 8. Depositions of the complainant and the doctor are ordinarily disclosable; third-party personal details may be severed under Section 10.
Q: Do I need a lawyer to file this RTI?\\
No. The template above is enough. A lawyer helps only at the appeal or writ stage.
Q: How much is the RTI fee for a State Medical Council?\\
It depends on your state. The central fee of Rs.10 (under the RTI Rules 2012) applies only to central public authorities. State Medical Councils follow their state's own RTI rules — see the state-wise fee directory for the exact amount.
Q: Can I file the RTI online?\\
For central public authorities, yes — through the RTI Online portal. State Medical Councils may or may not have an online portal; check your state's setup. If there is no online route, file by registered post or by hand with a stamped receiving copy.
Q: What if the doctor was from another state?\\
File the complaint with the State Medical Council of the state where the treatment was given. If the doctor's registration is in another state, the NMC portal is the cross-state alternative. You can also verify the doctor's registration on the National Medical Register — see verify doctor registration.
Q: Can RTI help if the negligence happened years ago?\\
RTI itself has no limitation period — you can ask for any existing record. But the Council complaint must be filed within 2 years under Section 39 of the NMC RMP Regulations 2022. If you are past 2 years, use RTI to check whether the Council recorded the complaint at all and whether it was held time-barred.
Q: What happens if the PIO denies information under Section 8(1)(j)?\\
Section 8(1)(j) protects personal information that has no relationship to any public activity. Medical council enquiry records relate to professional misconduct, which is a public-interest matter — so this exemption is often wrongly claimed. Challenge it in the First Appeal and, if needed, the Second Appeal. The CIC has directed disclosure of such records — see CIC: inspection of medical records.
If your Council reply is slow or evasive, the appeal ladder and the writ route are explained in plain language in The RTI Playbook — a free, step-by-step reference for citizens filing and chasing RTI applications. Pair the template above with the Playbook's appeal drafting and complaint-tracking chapters so a single application does not stall at the first silence.
This site runs on citizen support. If this guide helped you hold a Council to account, make a small donation to keep the Playbook and these explainers free for the next family that gets no answer.
Last reviewed: 10 July 2026.