Other Documents List Required from

Hospital
Tripartite agreements and acknowledgement letter which to be sign strictly on Hospital
Letter head.

Please provide the documents mentioned in the below table along with duly filled signed
& stamped Disclosure of Quality Parameter document and Hospital Information sheet.

Sr No Particulars
Hospital Registration Certificate (In case of States where registration is
1 non mandatory - Pollution certificate / Biohazard certification / Fire NOC
/ Gram Panchayat / Local Government body registration certificate)
2 Hospital Owner Name (copy of Pan card and Aadhar card copy of owner)
3 Hospital Pan Card copy
4 Copy of GST registration certificate
5 Official bank account details of the hospital (copy of cancelled cheque)
Name of Medical Superintendent with his/ her MCI / MMC registration
6 number , copy of certificate and contact details
7 Official email id of the hospital (excluding gmail / re-diff/ yahoo mail id)
8 Hospital official landline number
9 Rohini Code
Hospital NABH accreditation status - applied, entry level , NABH
10 approved , not applied (with relevant documents)
11 Recent hospital infrastructure photograph with recent date
12 List of equipments with photographs
13 Duly filled Hospital Information List with sign & stamp