Consent Management

Record and manage patient consent forms for procedures and treatments

Patient

Ramesh Sharma

UHID / IP No.

UH-2026-0811 · IP-2026-0811

Age / Sex

52M

Ward / Bed

Ward 3 / Bed 12

Consent Type	Status	Date Signed	Witness
General Consent	Signed	21 Jun 2026	Sr. Priya Mehta
Surgical Consent	Signed	21 Jun 2026	Sr. Priya Mehta
Anaesthesia Consent	Pending	—	—

Consent Type

Language

Procedure / Treatment Description

Risks Discussed

Alternatives Discussed

Disclosure Checklist — Clinician confirms:

The nature, purpose, and expected benefits of the proposed procedure have been explained.

The material risks and possible complications have been explained.

Alternative treatment options have been discussed.

The patient/guardian has had the opportunity to ask questions.

The patient/guardian appears to understand the information provided.

No undue pressure has been applied.

Patient / Guardian Name

Relationship (if guardian)

Date & Time

Clinician Obtaining Consent

Witness

Interpreter Used?