Utilization Certificate Form: Required for Issuance of Restricted Medicine from CGHS
Utilization Certificate
This is to certify that … … … … … … … … … … … … … … (Name of Medicines, quantity, dose, frequency) … … … … … … … … … … … … … issued to … … … … … … … … … … … … … … (Name & Token No of Patient /Name of Dispensary) issued on… … … … … … … … … (Date of issue) has been utilized /will be utilized by(Date) … … … … … … … If required empty strips/vials will be submitted.
| Signature of Patient Token No: Address & Telephone No |
Signature of the Specialist/ CMO Date:- Stamp |
Counter Signature of CMO I/C WC with Stamp
View: CGHS: Instructions for Issuance of Restricted Medicines
Click here to view/download the PDF[https://cghs.gov.in/showfile.php?lid=6216]



COMMENTS
Thank you for shedding light on the Utilization Certificate Form and its importance for obtaining restricted medicine from CGHS. This information is extremely helpful for those of us navigating the process. The step-by-step guidance provided in your post will definitely make it easier to understand the requirements. Looking forward to more updates on related topics!
utilization certificate nahi mil rha hai.