This patient consent form allows BMC to publish details and images from a patient, Dian Permata Rizda, in an article titled "FetalNet: Low Light Fetal Echocardiography Enhancement and Dense Convolutional Network Classifier for Improving Heart Defect Prediction" in the journal BMC Medical Informatics and Decision Making. The patient confirms they have read the article and agree to its open access publication online, understanding that their identity may be identifiable despite anonymization. The patient understands they will receive no financial benefit from publication and cannot withdraw consent after publication, but may revoke consent prior to publication.