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Ten form Allopathic DDVS AMBIKAPUR - Chhattisgarh State ...

Ten form Allopathic DDVS AMBIKAPUR - Chhattisgarh State ...

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19<br />

Specimen 8: Details of Manufacturing Unit(s) of the<br />

Contractor<br />

DETAILS OF MANUFACTURING UNIT<br />

Name of the <strong>Ten</strong>derer & Full Address ............................................................<br />

Phone Nos. .............................................................<br />

Fax .............................................................<br />

E-Mail .............................................................<br />

Date of Inception .............................................................<br />

License No. & Date ..............................................................<br />

Issued by .............................................................<br />

Valid up to .............................................................<br />

Details of Installed Production Capacity and Actual Production for the year<br />

2011-12<br />

Tablets/bolus/capsules :<br />

Injections (Ampoules/Vials) :<br />

I.V. Fluids :<br />

Liquids :<br />

Suspension :<br />

Syrups :<br />

Drops :<br />

Ointment :<br />

Powders :<br />

Antiseptics/<br />

Disinfectants :<br />

Name & designation of the authorized signatory :<br />

Signature of the authorized signatory :<br />

*The details of manufacturing unit shall be for the premises where items quoted are actually<br />

manufactured.

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