Revision of National Essential Diagnostics List

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Revision of National Essential Diagnostics List

Name of the applicant *

Address with email id and phone number

Name of proposed test to be added /deleted

Justification for addition or deletion

In case of recommendations for addition of tests, please provide the following details

Test category

Hematology

Microbiology

Pathology

Specific Disease

Biochemistry

Radiology

Any other

Other:

Required

Test for healthcare level
*

Sub Health Centre (SHC)

Primary Health Centre (PHC)

Community Health Centre (CHC)

Sub-District Hospital (SDH)

District Hospital (DH)

Other:

Required

Whether the proposed test is part of any national program (If you have any comments, kindly include in the designated 'others' section)

Yes

Other:

Required

Specimen type used for the test (Write NA if you have not suggested any test for addition)

Equipment required for test (Write NA if you have not suggested any test for addition)

Regulatory approval status (Write NA if you have not suggested any test for addition)

Conflict of interest declaration

Submit

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