April 21, 2026 – Hisar, Haryana
In a development that highlights the fragile intersection of medical ethics, law enforcement, and judicial procedure, a Hisar court has granted default bail to a high-profile repeat offender accused of violating India’s strict anti-sex selection laws. Dr. Anant Ram, a Barwala-based practitioner with a decades-long history of alleged involvement in illegal prenatal sex determination, was released on April 15, 2026, after the local police failed to file a chargesheet within the legally mandated 60-day window.
The ruling, delivered by Additional Sessions Judge Natasha Sharma, has sent ripples through the public health community. It underscores a persistent tension: while India has significantly strengthened its legislative shield against female foeticide, procedural lapses in the criminal justice system may be providing an unintended “escape hatch” for those accused of undermining the nation’s demographic balance.
The Sting Operation and the Arrest
The current case began on January 29, 2026, when a specialized Health Department team, acting on a covert tip, conducted a high-stakes raid at Shri Balaji Clinic in the Azad Nagar area of Hisar. The operation, led by Dr. Anamika Bishnoi, utilized a “decoy patient”—a pregnant woman who entered the clinic with marked currency notes totaling Rs 35,000.
According to investigative reports, Dr. Ram was caught red-handed while allegedly performing a fetal sex determination test, a practice strictly prohibited under the Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act of 1994. An accomplice, Dr. Surajmal, was also implicated for reportedly accepting the illegal payment.
The police registered a First Information Report (FIR) citing violations of the PCPNDT Act alongside Section 120-B (criminal conspiracy) of the Indian Penal Code. However, the momentum of this high-profile arrest was halted when the investigative period exceeded the 60-day limit without a formal chargesheet being presented to the court, triggering the defendant’s right to “default bail.”
A History of Non-Compliance
Dr. Ram’s name is not new to health authorities. Court records reveal a staggering history of similar allegations dating back to 1999, with subsequent cases in 2015, 2016, 2018, 2020, 2021, and as recently as October 2023.
In the 2023 incident, authorities dismantled a sophisticated racket involving portable ultrasound machines where clients were allegedly blindfolded to prevent them from identifying the secret locations of the tests. Despite the frequency of these arrests, Dr. Ram has previously secured acquittals due to insufficient evidence, illustrating the profound difficulty the state faces in securing convictions for “underground” medical procedures.
The PCPNDT Act: A Demographic Necessity
To understand the weight of this case, one must look at the public health crisis the PCPNDT Act was designed to solve. Enacted in 1994, the law prohibits medical professionals from disclosing the sex of a fetus to the parents. The goal is to curb female foeticide, a practice fueled by a deep-seated cultural preference for sons that has historically skewed India’s child sex ratio.
Key Provisions of the PCPNDT Act:
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Mandatory Registration: All diagnostic centers with ultrasound equipment must be registered with the government.
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Record Keeping: Practitioners must maintain “Form F,” a detailed record for every pregnant woman scanned, justifying the medical necessity of the procedure.
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Severe Penalties: First-time offenders face up to three years in prison; repeat offenders can face five years and the permanent removal of their names from the medical register.
“Female foeticide isn’t just a crime; it’s a demographic disaster,” says Dr. Ishwar Gilada, a Mumbai-based infectious disease specialist and public health advocate. “It erodes the future workforce and the social fabric of the nation. When repeat offenders exploit enforcement gaps, the deterrent effect of the law is severely weakened.”
Progress and Persistent Gaps in Haryana
Haryana has long been the “ground zero” for India’s struggle with skewed sex ratios. In 2014, the state’s Sex Ratio at Birth (SRB) stood at a concerning 871 females per 1,000 males. Following the launch of the Beti Bachao Beti Padhao (Save the Daughter, Educate the Daughter) campaign, the state saw an improvement to 910 by 2024.
According to data from the Sample Registration System (SRS), the national SRB rose from 899 (2016–2018) to 917 (2021–2023). This progress is attributed to thousands of raids and over 400 convictions nationwide. However, experts warn that the use of portable ultrasound technology—often moved across state lines—makes monitoring a “cat-and-mouse game.”
Dr. Sanjay Zodpey, Director of the Indian Council of Medical Research’s Public Health Foundation, notes that while the number of FIRs has increased, the conviction rate remains low in several states, often dipping below 10%. “Judicial backlogs and procedural delays, like the one seen in Hisar, remain the primary obstacles to the Act’s success,” Zodpey explains.
Balancing Legal Rights and Public Interest
The granting of default bail to Dr. Ram has sparked debate over the rights of the accused versus the safety of the public. Under Section 167(2) of the Code of Criminal Procedure (CrPC), if the police fail to complete an investigation within the prescribed period (60 or 90 days depending on the crime), the accused has an absolute right to bail.
Defense counsel for Dr. Ram argued that this is a vital constitutional safeguard against indefinite detention without trial. They often cite the complexity of forensic evidence and the time required for chemical analysis as reasons for investigative delays. While bail does not mean the charges are dropped, it does allow individuals with a history of repeat offenses to return to the community while awaiting a trial that could take years to conclude.
What This Means for the Public
For the general public, this case serves as a reminder of the role of vigilance in healthcare. Public health experts suggest several ways for consumers to ensure they are participating in ethical medical practices:
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Verify Registration: Ensure any diagnostic center you visit has its PCPNDT registration certificate prominently displayed.
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Form F Awareness: Patients should be aware that signing Form F is a legal requirement for an ultrasound during pregnancy; it is a sign of a compliant facility.
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Reporting: Suspected illegal activity can be reported through state-specific helplines (e.g., dial 108 in Haryana) or through the National PCPNDT portal.
The battle against female foeticide is often compared to a “societal vaccine.” Just as early intervention prevents an epidemic, strict adherence to ethical medical practices prevents the long-term social “virus” of gender imbalance, which leads to increased crime rates and social instability.
As India moves closer to its gender parity goals, the Hisar case serves as a cautionary tale: the strongest laws are only as effective as the procedural diligence of those tasked with enforcing them.
Medical Disclaimer: This article is for informational purposes only and should not be considered medical advice. Always consult with qualified healthcare professionals before making any health-related decisions or changes to your treatment plan. The information presented here is based on current research and expert opinions, which may evolve as new evidence emerges.
References
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Deswal, D. (2026, April 17). Barwala doctor accused in sex test case gets default bail. The Tribune. https://www.tribuneindia.com/news/haryana/barwala-doctor-accused-in-sex-test-case-gets-default-bail-cops-miss-chargesheet-deadli
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Amar Ujala Bureau. (2026, April 16). भ्रूण लिंग जांच मामला: तय समय में चालान पेश न होने पर एडीजे अदालत ने डॉ. अंतराम बरवाला को दी जमानत. Amar Ujala. https://www.amarujala.com/haryana/hisar/foetus-sex-determination-case-adj-court-granted-bail-to-dr-antaram-barwala