1. version number of informed consent form: quality manual No.4102 is GT-QM- revision year (1653 is required to be accurate to the month).

2. Version date: GT-QP- serial number (starting from 00 1, the serial number of the previous version needs to be confirmed).

3. Third-level document number (operating instructions): document code-department code-serial number (starting from 00 1, the serial number of the previous version needs to be confirmed).

Extended data:

Format:

informed consent

Dear patient: What is your current illness? }

It is entirely your choice to take part in this research. This informed consent will provide you with some information. Please read it carefully and decide whether to participate in the study or not. If you have any questions about this research, you can ask your doctor or researcher to explain.

You can discuss with your family and friends to help you decide whether to participate in this clinical study voluntarily. You have the right to refuse to participate in this study, and you can withdraw from this study at any time without being punished or losing your due rights. If you agree to participate, we need you to sign and date the informed consent form. You will get a signed and dated copy for your preservation.