A4 Official Notice Board Format

As per UPFSDA directives, this notice must be mandatorily displayed at the main billing counter and entrance.

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Government of Uttar Pradesh • Food Safety and Drug Administration

FOOD SAFETY AND DRUG ADMINISTRATION • GOVERNMENT OF UTTAR PRADESH

Pharmacy Establishment Public Notice & Self-Disclosure Board

UPFSDA Order Nos. FSDA/AK/2026-27/838 dated 01-10-2026 and 3208 dated 06-10-2026

Name of Licensed Pharmacy

Sanjeevani Medicos & Hospital Dispensary

Licensee Legal Entity: M/S Sanjeevani Healthcare LLP

Premises Address: Shop No. 12-14, Ground Floor, Civil Hospital Road, Lucknow, District: Lucknow - 226001 (Uttar Pradesh) • Telephone: +91 9450123456

Drug Sale License No. (DL No.) UP-LKO-20B-48192, UP-LKO-21B-48193 Form 20 & 21 Retail Sale (Form 20/21)

Establishment Category Retail Pharmacy (Without Hospital) State Licensing Authority, Uttar Pradesh

Rule 65 Authorized Qualified Pharmacist

Official Photograph

Rajesh Kumar Sharma

UP-PC-48592 (UP-PC-48592)

Uttar Pradesh Pharmacy Council

Qualification: B.Pharm, Registered Pharmacist

Live Stock & Price List Verification QR

साप्ताहिक दवा स्टॉक उपलब्धता और निर्धारित मूल्य दरें

Scan the QR code above with any smartphone camera

https://www.vidyasetudemo.site/pharmacy/sanjeevani-medicos

Notice: When purchasing medicines, always ensure the presence of a qualified registered pharmacist and obtain a genuine cash memo (bill).

Statutory Verification Disclaimer: This counter notice is displayed for self-disclosure in compliance with guidelines issued by the Food Safety and Drug Administration, Uttar Pradesh. It does not replace the statutory mandate under the Drugs and Cosmetics Act, 1940 to prominently display the original physical drug license (Form 20/21) at the premises.

Issue Date: 13/10/2026 Portal ID: UP-MEDICO-00001

Signature of Licensee / Authorized Pharmacist Official Establishment Stamp