The Medical Termination of Pregnancy Act runs on a small set of prescribed forms, and the clinic that performs the procedure is responsible for all of them: the woman's consent, the doctor's opinion, the admission register, and a monthly report to the district authority. Get one wrong and the problem is not a filing error, under this Act the paperwork is the lawfulness of the procedure.
This page explains each form for the person who has to keep them, which form, filled by whom, at what point, kept where and for how long, and gives you two working templates as Word and PDF: a layout for the admission register (Form III) and a month-end worksheet that feeds the Form II report. The prescribed statutory forms themselves are linked, not reproduced: their wording is fixed by the Rules and you should use the notified text. Practical orientation, not legal advice; the Act, the Rules as amended in 2021 and your Chief Medical Officer are the final word.
In short
- Six forms matter to a clinic: Form C (the woman's consent), Form I (the registered medical practitioner's opinion), Form E (the second-opinion route the 2021 amendment created for 20–24 weeks), Form D (the Medical Board beyond 24 weeks), Form II (the monthly report to the district authority) and Form III (the admission register).
- The place must be approved and the practitioner must be qualified before any of the forms mean anything, Form A is the application for approval of the place, and the certificate that follows is what an inspector asks to see first.
- Confidentiality is built into the Rules: the register works on serial numbers, the consent and opinion are filed in confidential custody against that number, and the woman's name is not disclosed except as the Act allows.
- The monthly report is due every month, including months with no cases. It must reconcile with the register, the inspection finding is almost always a mismatch between the two.
- Retention runs for years, not months. The register and the filed forms must be producible long after the procedure.
Download the register and monthly-report templates
Two documents: a working layout for the admission register, the columns Form III requires, laid out for daily use, and a month-end worksheet that compiles the totals the Form II report asks for, by duration of pregnancy and by ground under section 3, with the reconciliation checks to run before you submit.
- Word (.docx), editable; add your letterhead and approval number.
- PDF, print-ready A4.
For the statutory forms themselves, Form C, Form I and the rest, use the notified text. A reference copy of the prescribed forms is available as a PDF here; confirm it against the MTP Rules as currently amended before you print your stock.
Which form is which?
| Form | What it is | Who completes it · when |
|---|---|---|
| Form A / B | Application for approval of the place, and the certificate of approval. | The owner of the place, before any procedure is performed there. The certificate is displayed and its number goes on the reports. |
| Form C | The pregnant woman’s written consent. | The woman herself, before the procedure. For a minor or a woman who cannot consent, the guardian’s consent as the Act provides. Filed against the register serial number. |
| Form I | The registered medical practitioner’s opinion that the termination is justified under section 3. | One RMP up to 20 weeks; two RMPs where the Act requires two opinions. Completed before the procedure and filed with the consent. |
| Form E | The opinion route for the 20–24 week category the 2021 amendment created for specified women. | The practitioners giving the opinion, for cases falling in that category, verify the current Rule that governs it. |
| Form D | The Medical Board’s opinion for termination beyond 24 weeks on grounds of substantial foetal abnormality. | The State Medical Board, not the clinic, but the clinic files the outcome against the case. |
| Form II | The monthly report of terminations performed at the place. | The head of the approved place, every month, to the Chief Medical Officer / district authority, including a nil report. |
| Form III | The admission register, one serial entry per termination. | Maintained at the place, in the custody the Rules specify, and retained for the prescribed period. |
Two things to verify freshest: the exact form letters and the 20–24 week category, because both were touched by the 2021 amendment and its Rules, and states issue their own circulars on submission routes.
How does the admission register work day to day?
The register is the spine of MTP compliance, every other form hangs off its serial number. In practice:
- One serial number per termination, in sequence, with no gaps. A gap is a question.
- The consent and the opinion are filed against that number, in the confidential custody the Rules require, so that the register can be produced without exposing names and the forms can be produced when an authority asks for a specific case.
- Duration of pregnancy, ground under section 3, method, dates of admission, termination and discharge, the practitioner(s) and any complication, each is a column, each is filled at the time, not reconstructed.
- Custody, the head of the approved place is responsible; the register is retained for the period the Rules prescribe (five years for the register, verify), and longer where any proceeding is pending.
What does the monthly report have to reconcile with?
Everything. The Form II totals, by duration of pregnancy and by ground, must equal the number of register entries for the month; every entry must have its consent and opinion on file; every 20–24 week case must show two opinions; complications and deaths must have been reported as required. The worksheet in the download runs those checks before you sign.
The pattern is the one we described for the PC-PNDT monthly report: a report compiled from a register that was filled at the time is a print job; a report reconstructed from memory on the fourth of the month is where the mismatch is born. A month with no cases still produces a report, silence is a missing return, not an implied nil.
What goes wrong in inspections?
- Procedures performed at a place whose approval has lapsed, or by a practitioner who does not meet the qualification the Rules require.
- A consent signed by the husband rather than the woman, the Act requires her consent, and only a guardian’s in the cases it specifies.
- Opinion forms completed after the procedure, or a single opinion where two were required.
- Register entries with gaps in the serial sequence, or names written where the Rules require confidentiality.
- Monthly reports missing for quiet months, or totals that do not match the register.
- Forms that cannot be found, retention is measured in years, and a form that cannot be produced is a form that does not exist.
The consequences under this Act are criminal, not administrative, and they attach to the practitioner and the place. That is the reason the paperwork deserves a system rather than a drawer.
How does software carry this?
By making the register a by-product of the admission rather than a separate book: the serial number is issued when the case is opened, the consent and opinion are captured as structured documents against it with an audit trail, and the month’s Form II totals are computed from the cases that exist rather than counted by hand. MedStream handles gynaecology admissions, bilingual consents and the statutory registers on one patient record, the gynaecology clinic page describes the workflow, and, as always, the test is to ask any vendor to produce a month’s report live from test cases in the demo. Our buyer’s checklist has the question on it.
From the people who built it
Consent, opinion, register and monthly report, one serial number, one record.
MedStream opens the case with its serial number, captures the consent and the practitioner's opinion as structured, audit-trailed documents, printed bilingually in English and Gujarati, and computes the month's report from the cases that exist. Bring a test case to a thirty-minute demo and watch the register fill and the monthly totals reconcile.
Questions on this topic
What is MTP Form C?
- Form C is the pregnant woman's written consent to the termination, prescribed under the MTP Rules. It is completed by the woman herself before the procedure, or by a guardian only in the cases the Act specifies, such as a minor, and filed against the admission register serial number in the confidential custody the Rules require. The husband's consent is not a substitute for hers.
What is the difference between MTP Form I and Form II?
- Form I is the registered medical practitioner's opinion that the termination is justified under section 3 of the Act, one practitioner up to 20 weeks, two where the Act requires two opinions, completed before the procedure. Form II is the monthly report of all terminations performed at the approved place, submitted by its head to the Chief Medical Officer or district authority every month, including a nil report for months with no cases.
What is the MTP admission register (Form III)?
- The register maintained at every approved place, with one serial entry per termination recording admission, duration of pregnancy, the ground under section 3, the practitioner(s), method, dates and any complication. It works on serial numbers for confidentiality, is kept in the custody of the head of the place, and must be retained for the period the Rules prescribe, five years for the register, subject to verification.
Where can I download the official MTP forms?
- The prescribed forms are set out in the MTP Rules; use the notified text rather than a retyped version. A reference copy of the forms is linked on this page as a PDF, and the templates offered for download here are working layouts for the register and the monthly-report worksheet, not the statutory forms themselves. Confirm the current versions with your Chief Medical Officer, as the 2021 amendment changed the Rules.
Is a monthly MTP report required if no terminations were performed?
- Yes. The Form II report is due every month from every approved place, and a month with no cases is reported as nil. A missing report is treated as a missing return, not as an implied zero.