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Autopsy Report
Office of the Missoula County Coroner
Name _____________________________________
Gender
Date _________________
M/F (Circle one)
External Examination
Height: _______
Weight (lb): _______
Age (if known): _______
Time/Date of Death (if known): _____________________________________________
General Observations—External and Surroundings:
Injury Diagram
Notes:
Internal Examination
Organ
Thymus
Thyroid
Right Lung
Left Lung
Heart
Gall Bladder
Liver
Spleen
Weight (g)
Observations
Stomach
Small Intestine
Pancreas
Large Intestine
Right Kidney
Left Kidney
Brain
General Observations--Internal:
Laboratory Data/Toxicology Report
Mechanism, Cause, and Manner of Death
Manner of Death _______________________________________________________
Mechanism and cause of death (explaining the cascade of events):
The Story
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