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Application Form for Facility Registration

Facility Type
Facility Registered with
  Registration No.  
  Facility Name  
  Facility Address  
  Facility Contact No. Facility Email-Id    
  Covid-Nodal Name Nodal Whatsapp No.    
S.No. Description of facilities available in the hospital Upload Scan Copy
1. Registration issued from the office of Chief Medical Officer, Lucknow  
2. Contract with the agency for disposal of biomedical waste  
3. Registration with Uttar Pradesh Pollution Control Board.  
4. No Objection Certificate from Fire Department.