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Terms and Conditions

• Allocation of slots for the Drive-Thru covid-19 sample collection is purely based on availability. If any clarification is required the lab staff will contact you back.
• This Drive-Thru option is not applicable for International / Flight travel since it requires Physical verification of documents.
• The reports will be sent via email / Whats app only.
• If a hard copy is required, it may be collected in person from 2nd floor Central lab reception, hospital building, providing the receipt.
• All Positive reports will be intimated to the government also.
• Before submitting the data, kindly ensure that all entered data are correct. No changes will be allowed after creation of services.
• Refunds (if any) will only be processed against proper requests.
• Turnaround time for ANTIGEN results is 3 hours, TRUENAT – RT-PCR result is 12 to 24 hours. The reports may be further delayed if there are any technical issues.

• Incomplete filling/ incorrect filling and not completing the online payment will automatically considered void. Completely filled form with payment completion is mandatory
• Accepted requests will be contacted back and the time slots will be given.
• Provide the paid receipt and photo ID during entry to hospital campus and for verification at sample collection area.
• Spot payment or any other payment option is not available for drive thru

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BCMCH Registered Patient?

No Yes

BCMCH UHID (Hospital No)

Preferred Test

Truenat - RT PCR Antigen Card Test

Date

Patient Name

Father's Name

Gender

Male Female Transgender

Age

Select Age 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

Occupation

Health Care Worker Police Sanitation Security Guards Others

Mobile No

Mobile Number belongs to

Patient Family

Email Address

Nationality

Downloaded Aarogya Setu App ?

Yes No

Present patient address

Pincode

Panchayat/Muncipailty/Corporation

District

State

Aadhar No. (For Indians)

Passport No. (For Foregin Nationals)

Mode of Transport to visit testing facility

Public BUS Taxi Auto Ambulance Own Car Bike Bicycle Walk Not Applicable

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