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OFFICE OF THE CHIEF MEDICAL & HEALTH OFFICER

District-CHHATARPUR(M.P.)

Form 'BB'
(See rule 5 and 6)

Form the License under Section 4 of the Madhya Pradesh Upcharyagriha Tatha Rujopchar
Sambandhi Sthapanaye (Registrikaran Tatha Anugyapan) Adhiniyam, 1973

License is hereby granted to Shri/Smt DR SUDHANSHU MISHRA Registered vide No LL/0677/JUN-2020


dated 01-Apr-2023 under rule of the Madhya Pradesh Upcharayagrah Tatha Rujopchar Sambandhi
Sthapanaye (Registrikaran Tatha Anugypan) Rules, 1997 in respect of KHAJURAHO DENTAL CLINIC to
carry on the said Clinical Establishment 1 under the Allopathy system of medicine, for a period from 01-Apr-
2023 to 31-Mar-2026

Digitally Signed By LAKHAN TIWARI


(Personal)
Date : 04-Apr-2023 15:43:05 IST

SIGNATURE AUTHORITY
CHIEF MEDICAL &HEALTH OFFICER
DISTRICT CHHATARPUR

Page 1 Note : This is a Digitally Signed document On 04/04/2023 03:36 PM

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