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Tier 2 Testing: Scheme 1
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REGISTRATION
1
PERSONAL INFO
2
CONTACTS
3
LABORATORY
4
COURIER
5
PROGRAMME
Name
*
Email
*
Email already exists !!
Mobile Number
*
Mobile number already exists !!
Previous LAB ID
Password
*
Min 8 Characters Long
At least One Uppercase Letter
At least One Lowercase Letter
At least One Special Character
At least One Number
Confirm Password
*
Passwords Match
Institution
*
Position
*
Next
Already have account ? Log in
CURRENT CONTACT DETAILS
*
Name of the hospital / Laboratory
Name of the Department
Current complete Postal address
City
Pin code
District
State
Name of the Contact Person / Designation
Contact Number
Email ID
Add more contact person
Next
What is the bed strength of your hospital ?
*
What is the average daily (working days) outpatient number ?
*
What category of instition do you belong to ?
*
Please select option(s)!
Private Medical College
Government Medical College
Government Hospital Laboratory
Private Laboratory
Private Hospital
Do you handle the following in your laboratory ? (Please generate multiple clicks)
1. Bacteriology
*
Microscopy
Yes
No
how many samples handled per week
Culture
Yes
No
how many samples handled per week
Susceptibility
Yes
No
how many samples handled per week
2. Mycobacteriology
*
Microscopy
Yes
No
how many samples handled per week
Culture
Yes
No
how many samples handled per week
Susceptibility
Yes
No
how many samples handled per week
3. Mycology
*
Microscopy
Yes
No
how many samples handled per week
Culture
Yes
No
how many samples handled per week
Susceptibility
Yes
No
how many samples handled per week
4.Serology
*
Yes
No
how many samples handled per week
Next
Please indicate the best mode of postage to your location:
*
Registered mail
Speed post
Courier
If courier, which service provider covers your location efficiently?
DTDC
PROFESSIONAL
TRACKON
Please select the option in the above !
Next
Would you like to be a participant in the Microbiology external QC programme?
*
Tier 1
Tier 2
Tier 3
Please select the option in the above !
Please Fill Valid Password !
Finish!