Date: _________

To,
The chief Medical Officer,
Name of hospital & address

Subject: Authorization for disposal of bio-Medical Waste.

Dear Sir,

We want to inform you that we generate Biomedical waste not on daily or regular basis and
quantity of generation is also very less and we want to dispose whatever Biomedical waste
generate from our facility as per Biomedical waste rule.

As we have tie- up with you and your hospital have valid authorization from statutory body
so, based on above subject we want to request you to give your acceptance to dispose of
Bio Medical Waste generated from our unit within 48 hrs. with proper data record.

For Patanjali Foods Limited-Plant location For Name of hospital

Authorized Signatory Authorized Signatory

 PATANJALI FOODS LIMITED –_________
BMW Categories with details as per BMW Rule -2016
Yellow (1) Items contaminated with blood, body fluids like dressings, plaster casts, cotton swabs and bags containing residual or discarded blood and blood components &
Expired or Discarded Medicines.
Red (2) Wastes generated from disposable items such as tubing, bottles, intravenous tubes and sets, catheters, urine bags, syringes (without needles and fixed needle
syringes) and vaccutainers with their needles cut) and gloves.
Blue (3) Glassware: Broken or discarded and contaminated glass including medicine vials and ampoules except those contaminated with cytotoxic wastes.
White (4) Waste sharps including Metals: Needles, syringes with fixed needles, needles from needle tip cutter or burner, scalpels, blades, or any other contaminated sharp
object that may cause puncture and cuts. This includes both used, discarded and contaminated metal sharps

BIO MEDICAL WASTE COLLECTION RECORD

Month: _______________
Sr. Date Of Quantity of BMW Generated (In Kg) Date Of Name Name Remarks
No. Generation Colour Coding and Category Collection by & &
Yellow Red Blue White Total Hospital Signature of Signature of
(1) (2) (3) (4) Waste Collector PFL Staff

*Maintain the bio medical waste collection record as per the above format*