X

The Transplantation of Human Organs Rules, 1995 - Form 3

J E
Indian Laws and Regulations Related to Health

FORM -3
[(See rule 4(1) (c)] 

I,Dr...............................................possessing the qualification of .....................     …………………………………… registered as med. practitioner at Serial No. .............................. by the .......................... ..................... Medical council, certify that Mr./Mrs. …………………………… .S/o, D/o, W/o ............................……………aged ...............the donor, an Mr./Mrs. …………… ……… ……… S/o, D/o, W/o ………………………………… aged ........................., the recipient of the organ donated by the said donor are related to each other as brother/sister/mother/father/son/daughter as per their statement and the fact of this relationship has been established by the results of the tests for Antigenic Products of the Human Major Hysto-compability System, namely .......................................... by the Authorisation Committee as per the information contained in their letter of approval No. .................................................. dated .......................


Place..........................                                                                                                    Signature

Date..........................

Post your Comments

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
User Avatar
* Your comment can be maximum of 2500 characters
I agree to the terms and conditions

Most Popular News on Medindia

P
M
s
The Transplantation of Human Organs Rules, 1995 -...
S
The Transplantation of Human Organs Rules, 1995 -...