Proforma - 4
ontere arrgfian ofteg
CHHATTISGARH MEDICAL COUNCIL
set CERTIFICATE OF REGISTRATION
(4/s-11 (8) of the C.. Ay. Parishad Adhiniyam, 1987, C. G. Govt. Adaptation order 2001)
STRATION NO. ¢.6.M.¢.- 1890/2008
CF. Sr. No. CGMGf. 4.
OF THE DR SMT, FLORENCE NIGHTINGALE SAGAR,
OF BIRTH 1820141959
E'S NAME SHRI CYRIL LAKRA,
FICATION MeB.BeS- (JULY,1984), BERHAMPUR UNI., BERHAMPUR (ORISSA)
"AL COLLEGE M.K.C.G. MEDICAL COLLEGE, BERHAMPUR (ORISSA)
OF COMPLETION OF INTERNSHIP 04.14.1985
ee aL: ane
NENT ADDRESS DR. F.N. LAKRA (SAGAR), BHAISA DAFAI, HALDIBARI, CHIRIMIRT
= G:
DIST, — KOREA {G. G. mie
05.09.2008
OF REGISTRATION 2
eS the -ORISGA-COUNCIL” UF "EDI. REGI.
Regn. No.gogz: TORS T1. 1985,
Gh is hereby certified that this is a tue copy of the enkries made in columns
0 9 of the State Medical Register in vespect of the name specified above.
nodose
0.6. MREGISTRAR ramon
CHHATTISGARH MEDICAL COUNCIL
RAIPUR
ORTANT Ne
Every registered medical practi
Careful to send the regist
‘any change in his address, and also to answe
Inquiries that may be sent to him by the Regi
in regard thereto, i