NLDB - Announcements

First Announcement : "NLDB provides access to any biospecimen type (serum, plasma, fresh or frozen tissue, FFPE, CSF, etc.) and any specific associated data (clinical history, medical follow-up, etc.) in any disease" Second Announcement : "Seats are available for training in Biobanking, Immunohistochemistry (IHC), Immunofluorescence (IF), molecular pathology techniques & molecular techniques" Please Contact : +91 9958368439, Email : mallick.koustav@gmail.com

Data Destruction Form

PATIENT NAME
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PATIENT DOB(*)

HOSPITAL NAME
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If you decide to withdraw your consent for whatever reason, please indicate which consent you wishto withdraw by initialling the appropriate box/boxes below.

Withdrawing your consent will mean that your biosamples and/or clinical data will not be madeavailable in the future to anyone wishing to carry out analyses/research studies.

Your tissue will bedestroyed and where ever possible any related data accrued from your material will be removed.

BIOSAMPLE(S)



I withdraw my consent for the use of my biosample(s) by the National Liver Disease Biobank forany research project taking place now or in the future, and where possible I wishfor my genetic data to be removed from any database.

ACCESS TO CLINICAL DATA AND IMAGING STUDIES

I withdraw my consent for access to my clinical notes and/or imaging for the purposes of research; they may only be kept for treatment or diagnostic purposes.
Reason for withdrawal of Consent.
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Related Links

www.ilbs.in 

www.dbtindia.nic.in 

www.echo.ilbs.in 

www.whocc.ilbs.in

 

 

Welcome to NLDB

You are welcome to contact us for any
query, suggestion or feedback.
Kindly address the communication to
Reception/ Enquiry
+91-11-46300000 Extn. 24813, 24814

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