The West Bengal State Commission, led by Justice Manojit Mandal, found a doctor guilty of medical negligence and poor service for failing to get the patient's written consent before starting the treatment.

The complainant's father consulted the opposite party, a doctor, for treatment of his daughter’s mildly protruding and uneven upper teeth. It was only later that he realized such cases fall under the expertise of orthodontists. Although not qualified as an orthodontist, the doctor initiated the treatment without adhering to the standard protocols required for teeth alignment. The complainant contended that a referral to an orthodontic specialist should have been made, as such professionals typically carry out a detailed diagnostic process, including x-rays and dental impressions, before starting any treatment. A complaint was lodged with the District Commission, which ruled in favor of the complainant, concluding that the doctor was negligent and provided substandard care. As a result, the doctor was directed to pay compensation of Rs. 3,00,000 within 45 days. Unhappy with the ruling, the doctor challenged the decision before the State Commission.