भारत सरकार

Government of India
भारतीय खा संर ा एवं मानक ा धकरण
Food Safety and Standards Authority of India

खा संर ा और मानक अ ध नयम, 2006 के अधीन अनु त

License under Food Safety and Standards Act, 2006

अनु त सं या / License Number : 10019021003920

1. अनु तधारी के पंजीकृत कायालय का नाम और पता HARIRAJ MEDICAL HALL

    Name & Registered Office Address of Licensee GRAND FLOOR, WARD NO 28 PACHRI PARA, NEAR NEW BUS STAND,,
G.E. ROAD, IN FRONT OF MENONITE CHURCH. Durg, Chhattisgarh, 491001

2. ा धकृत प रसरो का पता    Bharat Ratna Late Shri Atal Bihari Vajpayee Memorial Govt Medical College
Pendri Rajnandgaon,
    Address of Authorized Premises
Chhattisgarh - 491441

3. कारोबार का कार /  Kind of Business Drug Retailer & Goods

4. डेयरी कारोबार ववरण हेतु /  Dairy Business Details N.A.

5. अनु त का वग /  Category of License : Central

यह अनु त खा संर ा और मानक अ ध नयम, 2006 के अधीन अनुद क गई और वह अ ध नयम के उपबंधो के अ याद न है जनका अनु तधारी ारा अव य पालन कया जाना चा हए /  This license
is granted under and is subject to the provisions of FSS Act, 2006 all of which must be complied with by the licensee.

  
  

थान / Place : Raipur खा. सं. और मा. अ ध., 2006 के अधीन क य अनु ापन अ धकारी
दनांक / Date : 02/07/2023 Central Licensing Authority under FSSA, 2006

व धमा यता और नवीनीकरण  /  Validation And Renewal

Installed
License Issue / Period of License Items of Food products with capacities authorized to Signature Of
handling
Renewal Date validity Fee Paid Manufacture/ Re-pack/ Re-label Designated Officer
Capacity
Rs. 7500 Please refer to annexure. Please refer to
02/07/2023 01/07/2024
annexure.
Rs. 23700 Please refer to
03/07/2023 02/07/2024 Please refer to annexure.
(Renewal) annexure.
Note : FBO has to file quarterly return by the 10th of fourth month for the preceding quarter in respect of food articles exported. Non-compliance will attract
penal provisions under FSS Act, 2006 leading to cancellation of License.
Disclaimer-This License is only to commence or carry on food businesses and not for any other purpose.
 Annexure
भारत सरकार
Government of India
भारतीय खा संर ा एवं मानक ा धकरण
Food Safety and Standards Authority of India

खा संर ा और मानक अ ध नयम, 2006 के अधीन अनु त

License under Food Safety and Standards Act, 2006

अनु त सं या / License Number : 10019021003920

Kind of Business : Drug Retailer and Goods

Only for Import of Products Allowed under FSS ACT, 2006

Kind of Business : Drug Retailers and Goods

Supplier
Sl.No Product Description
1 02 - Sanitary Goods
2 06 - All items of Schedule C and C1(i) drugs, excluding those specified in Schedule X

3
4

  

  
   Stamp and signature of Designated Officer
थान / Place : Raipur खा. सं. और मा. अ ध., 2006 के अधीन क य अनु ापन अ धकारी
दनांक / Date : 02/07/2023 Central Licensing Authority under FSSA, 2006