Visual guide

The first 24 hours after a death: an hour-by-hour guide

What to do in the first day after a loved one dies in Delhi NCR, at home or in hospital, set out one calm step at a time.

By Shaily Sharma, Founder, Eternal Repos · Published

An elderly couple holding hands across a table
Photo: T Leish / Pexels
In short

In the first 24 hours after a death, call a doctor to confirm it and issue the medical certificate of cause of death, and call the police on 112 only if the death was sudden or unexplained. Then tell family, keep your loved one cool, collect hospital papers, hold the rites in your tradition and begin registration.

Key points

  • A doctor's Medical Certificate of Cause of Death is the first document after any death in India: Form 4 for a hospital death and Form 4A for a death at home, issued free of charge.
  • Police are called on 112 only when a death is sudden, unexplained or follows an accident or injury; a peaceful death from a known illness, certified by a doctor, does not normally involve them.
  • If eye donation is wished, corneas should be retrieved within about 4–6 hours of death, so the eye bank should be called as soon as death is declared.
  • Every death in India must be reported to the registrar of the area where it happened within 21 days, and registration within that period is free.
  • When a death happens in hospital, the hospital reports it to the registrar; when it happens at home, the head of the household or the nearest relative present does.

What should you do in the first hour after a death?

Pause, then call a doctor. Knowing what to do in the first 24 hours after a death starts here: a doctor confirms the death and writes down its cause, and almost everything else follows from that one certificate.

If the death was expected, there is no emergency. You have time to sit with your loved one. If it was sudden, or you are unsure they have passed, call 112 first.

112

Emergency number to call if the death is sudden, unexplained or follows an injury

India’s all-in-one emergency number

₹0

Fee for the doctor's MCCD, and for registration within 21 days

RBD Act, 1969

4–6 hrs

Window for eye donation after death, so call the eye bank early

AIIMS eye bank FAQs

24 hrs

Within which police send an inquest report to the magistrate

BNSS s.194

21 days

To report the death to the local registrar

RBD Act, 1969

7 days

For the registrar to issue the certificate after registration

RBD (Amendment) Act, 2023

The first 24 hours, hour by hour

The hours below are a gentle guide, not a rule. Some steps happen together, some take longer, and every family moves at its own pace.

Hour 0 to Hour 24

  1. Hour 0

    Pause, then call a doctor

    For an expected death, call the treating doctor, family physician or palliative care team. Note the approximate time your loved one stopped breathing.

  2. Hour 0

    If the death was sudden: 112 first

    Call the police if the death was unexplained or followed a fall, accident, burn, poisoning or violence. Do not move, wash or change anything until they arrive.

  3. Within the first hour

    Eye donation, if wished

    Call an eye bank at once, such as the National Eye Bank at AIIMS (011-26593060). Close the eyelids, cover them with damp cotton, switch off the fan and raise the head slightly.

  4. Hour 1

    In hospital: ask two questions

    Ask the ward in-charge whether this is a medico-legal case and what the release steps are. At AIIMS New Delhi, families seeking quick release in a non-MLC case are advised to take their loved one within about an hour; otherwise they may be moved to the mortuary.

  5. Hours 1–3

    The doctor's certificate

    The doctor issues the MCCD: Form 4 in hospital, Form 4A at home. It is free. Since 2023, hospitals must give a copy to the nearest relative.

  6. Hours 1–3

    Tell family, then whoever leads the rites

    Spouse, children and siblings first, by phone. Then the priest, granthi, maulana or pastor, so a time can be fixed. Let one person handle the calls.

  7. Hours 2–6

    Keep your loved one cool

    Use the coolest room, lying flat, with the air conditioner on and curtains closed. Never place ice directly on the skin. If the farewell is hours away, ask for a freezer box.

  8. Hours 2–8

    Hospital release

    Collect the death summary, your MCCD copy, the release slip and the final bill. In a medico-legal case, release waits for police papers and any post-mortem, which often takes most of a day.

  9. Hours 4–12

    Choose the place of farewell

    Confirm timings with the cremation ground or burial ground. Carry the doctor's certificate and identity proof. Our guide to cremation in Delhi compares electric, CNG and wood.

  10. Hours 6–24

    The rites, in your family's tradition

    Many Hindu, Muslim, Sikh and Jain families hold the farewell within a day. Christian families may wait longer so relatives can travel. Keep the cremation slip safely.

  11. Hour 24

    Registration has begun

    A hospital reports the death itself. For a death at home, the head of the household or nearest relative reports it to the registrar where it happened, within 21 days.

How is a death at home different from a death in hospital?

The steps are the same in spirit, but who does them changes. At home, the family carries more of the paperwork. In hospital, the institution carries most of it.

Home and hospital, side by side

At home

Delhi NCR, common practice

  1. CertifiesThe doctor who attended the last illness
  2. FormMCCD Form 4A, free of charge
  3. PoliceOnly if sudden, unexplained or after an injury
  4. CoolingCoolest room; a freezer box if the farewell is hours away
  5. RegistersHead of household or nearest relative, within 21 days

In hospital

Delhi NCR, common practice

  1. CertifiesThe treating doctor
  2. FormMCCD Form 4, with a copy to the nearest relative
  3. PoliceIn an MLC, the police decide when release happens
  4. CoolingHospital mortuary, if the family is not ready yet
  5. RegistersThe hospital reports to the registrar where it stands

Read the full guides for a death at home and a death in hospital.

When are the police involved, and what happens then?

Only when the death was sudden, unexplained or caused by injury. Calling them does not mean anyone is under suspicion. It creates the official record that banks, insurers and the registrar may later need.

If the death is sudden or unexplained

  1. 1

    Call 112Family

    Say what happened and where. Leave your loved one as they are.

  2. 2

    InquestPolice

    An officer records the apparent cause of death before two local witnesses, under Section 194 BNSS, and sends the report to the magistrate within 24 hours.

  3. 3

    Post-mortem, if orderedGovernment doctor

    Decided by the police or a magistrate, not the family. Two relatives are often asked to identify your loved one. See the post-mortem process.

  4. 4

    Release and papersPolice and mortuary

    Your loved one is released with police clearance. Keep these papers with the mortuary's release slip; the crematorium may ask for them.

What happens to the rites in the first day?

Practice varies by family, region and community. What follows is common practice, not a single correct way. Ask your elders or priest what your family does.

Swipe sideways to see the full table →

Common timing of the farewell, by faith
FaithCommon practice in the first dayRead more
HinduAntim sanskar often within a day, frequently before the next sunsetHindu antim sanskar
MuslimGhusl, then the janaza and burial as soon as possibleJanaza in Delhi NCR
SikhCremation soon, Gurbani at home and the Kirtan Sohila at the cremation groundSikh funeral and Antim Ardas
JainCremation soon, with a simple and quiet farewellJain funeral rites
ChristianThe funeral may be held after a few days, so cooling mattersChristian funeral

Source: Eternal Repos guides; practice varies by family

White lilies in soft daylight
Whatever your tradition, the first day is for being present.Photo: Nguyễn Tiến Thịnh / Pexels

Which documents should you keep together from day one?

Keep one folder, with originals and a few photocopies. Crematoria, the registrar, banks and insurers will ask for the same papers again and again.

  • The MCCD: Form 4 from the hospital or Form 4A from the doctor at home.
  • The hospital's death summary, release slip, final bill and receipts.
  • Police and post-mortem papers, if there was an inquest.
  • Aadhaar or another identity proof of your loved one.
  • Identity and address proof of the person reporting the death.
  • The cremation or burial slip.
  • The exact name and address of the place of death, which decides the registrar.

“No one should say goodbye alone.”

— Eternal Repos

How we did this

Every step and figure on this page is drawn from Eternal Repos' detailed guides, which were checked against official and reputable sources: the Registration of Births and Deaths Act, the Registrar General of India's CRS FAQ, PRS summaries of the 2023 amendment, the BNSS, the NHRC's 2021 advisory and AIIMS New Delhi's mortuary and eye bank pages. Hour labels are an approximate guide, not legal deadlines.

Questions families ask

What is the very first thing to do when someone dies?

If the death was expected, call the doctor who was treating your loved one so they can confirm the death and issue the medical certificate of cause of death. If the death was sudden or unexplained, or you are not sure they have passed, call 112 first. Then take a moment. Most other steps can wait an hour.

Do we have to call the police when someone dies at home?

Usually not. If your loved one had a known illness and a doctor is willing to certify a natural death, the police are not normally involved. Call 112 when the death was sudden and unexplained, followed an accident or injury, or there is any doubt. A doctor who cannot be sure of the cause will advise you to inform the police.

How long can we keep our loved one at home before the funeral?

There is no single legal limit, but in Delhi NCR's climate a person should be kept cool from the start. Many families hold the farewell within a day. If relatives must travel, a freezer box brought to the home can help for longer. Ask the priest or the crematorium about timings.

Who registers the death, and by when?

For a hospital death, the hospital reports it to the registrar of the area where the hospital stands. For a death at home, the head of the household or the nearest relative present reports it. Either way, the deadline is 21 days, registration within that time is free, and the registrar must issue the certificate within seven days.

Can the last rites happen before the death is registered?

Yes. Families commonly complete the cremation or burial first and register the death within 21 days. Keep the doctor's certificate and the cremation or burial slip safe, because the registrar may ask to see them. If the police are involved, wait until they release your loved one before any rites begin.

Practical guides

More from Eternal

Words on this page: MCCD (Medical Certificate of Cause of Death) · Form 4 · MLC (Medico-Legal Case) · Post-mortem · Freezer Box · Death summary · Cremation slip · Antim Sanskar · Ghusl · Janaza · Kirtan Sohila · Death Certificate

Sources

  1. Registration of Births and Deaths Act, 1969 (India Code)
  2. FAQ on the Civil Registration System, Office of the Registrar General of India
  3. PRS Bill Summary: Registration of Births and Deaths (Amendment) Bill, 2023
  4. Physician Manual on Medical Certification of Cause of Death, Census of India
  5. Police to enquire and report on suicide, etc. (Section 194 BNSS)
  6. NHRC advisory to ensure dignity and rights of the dead (14 May 2021)
  7. AIIMS New Delhi: Mortuary services
  8. AIIMS New Delhi: Autopsy services
  9. AIIMS New Delhi: National Eye Bank (Dr R.P. Centre)
  10. AIIMS Nagpur: Eye Bank FAQs (4–6 hour window, family steps, consent)
  11. MOHAN Foundation (organindia.org): Eye Donation

General information for families, not legal or medical advice. Rules and figures change; please confirm with the authority concerned. Photographs are illustrative and used under their stated licences.