ICMR Application Form PDF

Download PDF of ICMR Application Form from tmc.gov.in

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ICMR Application Form

This is an application form for collection centers/ labs to enter details of the samples being tested for Covid-19. It is mandatory to fill this form for each and every sample being tested. It is essential that the collection centers/ labs exercise caution to ensure that correct information is captured in the form.

Details to be Mentioned in ICMR Form

  • Section A Conatin the Personal Details
  • Specification Information Form Referring Agency
  • Patient Category
  • Medical Information
  • Pre-existing Medical Consotions
  • Hospitalization Details
  • And any other details.

You can download the ICMR Application Form in PDF format using the link given below.

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