Pre-Natal Diagnostic Techniques Amendment Rules, 2003 - Form E

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FORM E

[See Rule 9(3)]

FORM FOR MAINTENANCE OF RECORDS BY GENETIC LABORATORY

1. Name and address of Genetic Laboratory

2. Registration No

3. Patient’s name

4. Age

5. Husband’s/Father’s name

6. Full address with Tel. No., if any

7. Referred by/sample sent by (full name and address of Genetic Clinic) (Referral note to be preserved carefully with case papers)

8. Type of sample: Maternal blood/Chorionic villus sample/amniotic fluid/Foetal blood or other foetal tissue (specify)

9. Specify indication for pre-natal diagnosis

A. Previous child/children with

        (i)  Chromosomal disorders

       (ii)  Metabolic disorders

      (iii)  Malformation(s)

      (iv)  Mental retardation

      (v)   Hereditary haemolytic anaemia

     (vi)   Sex linked disorder

    (vii)   Single gene disorder

   (viii)   Any other (specify)

B. Advanced maternal age (35 years or above)

C. Mother/father/sibling having genetic disease (specify)

D. Other (specify)

10. Laboratory tests carried out (give details)

(i)   Chromosomal studies

(ii)   Biochemical studies

(iii)  Molecular studies

(iv)  Preimplantation gentic diagnosis

11. Result of diagnosis

    If abnormal give details.                          Normal/Abnormal

12. Date(s) on which tests carried out.

            The results of the Pre-natal diagnostic tests were conveyed to ………………… on …………………

                               Name,Signature and Registration No.
of the Medical Geneticist/
Director of the Institute


Place:

Date:

 

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ROXYY 

i want to know about an ultrasound technician, having a B.Sc. degree in imaging technology can perform and open his own clinic if no then what will the work of skilled sonographer/technician.

Dr.V.Amarendra 

I am a PG diploma holder in Anaesthesiology. Am I eligible to register for a scan centre.Dr V. Amarender

ray74 

I AM A BHMS{bachelor in homoeopathic medicine and surgery) DOCTOR HAVING INTERNSHIP FROM ALLOPATHIC SUBDIVISIONAL HOSPITAL.
WHEATHER I AM ELLIGIBLE TO MAKE A USG REPORT INDIPENDENTLY AFTER ONE YR TRAINING FROM SUBDIVISIONAL HOSPITAL ON USG ?
PLEASE INFORME ME .

bindal 

I want to know the latest rule about immobilsing the usg machines. wheather it is applicable for stand alone diagnostic centres only or for clinics and nursing homes also.
Dr. Rajesh

drzadbuke 

I would like to know that for USG -MD (gync&obgy)dr. needs experience or traning certificate ?

View all Comments (7)

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