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Nation-wide Distribution of Kaba Sura Kudineer for COVID-19 positive Patients
Initiative by Central Council for Research in Siddha, Ministry of AYUSH, Govt. of India, Arumbakkam, Chennai 600106
CCRS
Consent for participation- mandatory
I hereby give my consent to take the Ayush intervention (Kaba Sura Kudineer) as per the dosage prescribed to me based on my health status. I also give my consent to provide the requisite information as and when asked by me through telephonic interview. I understand that my confidentiality will be maintained and the information provided by me will only be used for research purpose for the benefit of public.
Kindly read the above-quoted Consent. if You agree, Kindly submit the form. We will contact you soon...
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if you choose appropriate city, the officials from below quoted city will contact you soon
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Enter the mobile number with out country code (+91 or 0)
Aadhaar number/Voter ID /any Govt. ID card with photo *
Have you taken RT-PCR test *
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