From professional translators, enterprises, web pages and freely available translation repositories.
you have rigth to refuse or withdraw at any point of time without affecting your relationship with the researcher, instructor, and school of social work, tiss, mumbai.
तपाईं अनुसन्धानकर्ता, प्रशिक्षक, र स्कूलको सामाजिक कार्य, tiss, मुम्बईसँग तपाईंको सम्बन्धलाई प्रभाव पार्ने बिना कुनै पनि समय अस्वीकृत वा फिर्ता लिने कठोरता छ।
Last Update: 2017-09-07
Usage Frequency: 1
Quality:
Reference:
consent no: consent form for research “detection of fluoroquinolones concentration and fluoroquinolone resistant genes amongst fluoroquinolone resistant biofilm and non biofilm producing bacteria isolated from covid-19 patients” lab no: d m y date: patient information name: ………………………………................... age: …………..... gender: male female others occupation: ...………….. reporting centre: ………………………………................................................................... mobile: ………………………………................... telephone: ………...……. residing address: ………………………… permanent address: ……………..……... i, ………………………………………., hereby provide my informed consent to get my blood/serum and blood/urine/body fluids/others (……………………) tested for assessing bacterial co-infections and also evaluating the serum levels of procalcitonin. the significance, relevant information & pre-test counseling have been provided to me. i have been explained fully the probable side effects too. i value and respect the outcome of this research and i am volunteering the research as per my free will and have not been influenced by any person. i have the right to withdraw from the study at any time without in any way affecting my medical care. i understand that my result shall be kept confidential. i authorize the following person/ agency to collect the sample/report on my behalf. signature/thumb print (any one) self sign right left ref. agency sign right left guardian sign right left *in case of minors, consent form to be signed by either of the parents / legal guardian *in adoption cases, consent form to be signed by orphanage / ngo / adopting parents *in case of incapacitated or hospitalized patients, consent to be signed by next of kin or doctor collected by: ...................................... signature: ......................................
Last Update: 2020-12-16
Usage Frequency: 1
Quality:
Reference:
Warning: Contains invisible HTML formatting
