Document text
Procu r
()l lleilllll
nd. Munr
/MM(JI'
h No.23l
scd on I
nall st und
ted I 1.02.
urnbai. da
by this o
6c (2021 -
'('crtil'ica
Acl. I 9
to be no
23lStt)
sarnple
iculatc M
.q)
\-/
ment Authority
iccs. Munrbai. t)'Me llo Road
J{}(nx) I
Mcdicinc & Material St,ctions/2025
Datt.0{48.2025
0tt
5ls p-(
10. supplied b1' M/s. Sai Parcnterals
lC I{C No. l46c
r section 25( l) ofThe Drugs and
025
d 3 I .07.2025
tce.
23\
lirr the product 'lnj. Iron Sucrose
ol"l'est or Analysis b1'Govt. Analyst
' ('D'l'1.. Munrbai. datcd I 1.02.2025
ol'standard qualily (N!iQ). Details of
Manufacturing
Date
Expiry Date
t7t2023
ll12075
ived docs not conlorm to USI'.13 rvith
tter" in injections."
Page 1of 2
[)irector Gencral
lirnployces' State lns
('.1.G. Road. Nov D
l{el':
a
o
/l,,
Contilct Nu
Lttl.- ilce la rctl a
Sub: llegard ing dru
As pcr Re l.
Narnc ol' ite nr
Room No.3 l2 & 3 I
As per Ref.
20 rng/rnl', based o
As per thc
rcspcct t() the test
Maha
( )llicr- l" lrl(x)r-
Cosmetic
3. Approvcd
l. I)Lrrchasc
l. '( ert illca
under section 25(
wherein thc batch
NSQ batch as give
Inj. lron Sucro
20 rng/ml
ashtra Mcdical Good
arogya Ilhawan. ('onrnrissioncral
St. Gcorgcs l lospital Compt
bcr- 022-:26 1 1 47 l - 022-227 17 5ott
rancc Corporation.
IIqrs. Oflicc. I)anchdcep llhar
hi- il 0002
ln-i. Iron Sucrosc 20 rng/nrl. []a
NSQ b)'(iovt. Anallst. (ll) ll.
cr No. 17. dated 07. 10.2023.
otc ol'l lon. ('l:(). MM(iPA.
o. l- I)urchasc Order rlas issu
IrSIC' Ilate ('ontrilct nunrhcr I
o. 2. this olllcc is in rcceipt o
ol' 'l'he Drugs and Cosmcti
f the aforcsaid drug is rcport
belorv:
Narne rrl' N{anuf acturcr
M/s. Sai Parcnterals
Lrd.
pinion given in the rcport. "th
ll". "Alkalinity ', and "l)a
or "P
O/rv. No.
3r
ol"l'cst or Analysis by Govt.
Act. 1940'. (]D'IL. Mumbai.
klD
ir n.
p-rnail - rna$a. rnrngpa202-3(lgmail.cor r
LI-
i
M unr bai
s
[Batch No.
5327674/2025/SEC-R&I-ESICHQ
1
File No. e-U-25/12/NSQ/2022-MedV (Computer No. 12328)
Generated from eOffice by RAMESH KUMAR SAINI, PHA-MED5-RKS, PHARMACIST, Employees State Insurance Corporation (ESIC) on 23/10/2025 04:20 pm
Despite reminders, the firm has thiled to replacc the stock of NSQ d
report of CDTL, Mumbai. The concerned firm has been issued a show cause
replacement of NSQ stock.
rug as
notice
prr thc lcstin!
rcgarding norr-
As pcr terms and conditions, clause 22.B.1 ol'thc above-mentioncd rate contract
'lf single item/.Batch of item is dc'clared NSQ undcr Catcgory B
. Rate Contract Holdcr/ Phannaceutical firm will bc debarred tbr the further supply of the
said NSQ item in the currency ofthc Ratc Contract."
fhis is for your information and further neccssary action
aa
l-,
lor
I)r. SanJ cc\
u
ar.ladhar
(;cncral Mnnagcr (Technical)
Maharashtra Mcdical (Joods I'rocurcmcnt Authority,
\lumhai
o
Page 2 ol 2
5327674/2025/SEC-R&I-ESICHQ
2
File No. e-U-25/12/NSQ/2022-MedV (Computer No. 12328)
Generated from eOffice by RAMESH KUMAR SAINI, PHA-MED5-RKS, PHARMACIST, Employees State Insurance Corporation (ESIC) on 23/10/2025 04:20 pm
aharashtra Medical
I lhrough Go!€Inmenl neso
"'Floor. AarogYa Bhawan. Commiss
Sl. Georgos HosPilal
acl Number- 022-221t ll'11.022'22
Order.No. l7 /MMGPA/Medic
nushka Pride, Road No.l2'
9E8s02 I 555/ U0'2387936t984
- SupptY of Inj. Iron Sucrose
- (l ) Special Pcrmission from
of Mceting Datcd 3' l0'2
(2) ESIC Rate Contact No l
(3) Budgcr Sourct: Frec Dru
(4) Sanction ofT'cndcr APP
rcncc lo thc sPccial Pcrmission
supply of following medicinal
ingly you are requcsted to su
bclow. (Consigncc List encl
A Maharashtra
RALS PVT LTD,
erabad - 500 034
Unil
Rrle
QrsnlitY
(DHS)
Specificati
in: lron
L
C
Sir
s.
ord
TwclrlY
I
n
n
I
tl
mo
excePt
ble
o
t
pplico
na Thoulrn
ms wherc
Sucrose 20mg
lnj. Iron
Sucrosc 20m9.
Iron lnj.
Each ml to
Rrlc
Cortncl
Numbcr &
Itcm No.
r 3.00
200150
l46c
(202t-2023)
Tol
' 657
Ofirce-
Esrc $ Bals
a
t.
7
3.
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Mobild Tcl No
Email:
Subj
With
awardcd for lh
rcfercnce 7. A
dcuils mcntio
Prcling & Fo
DcstlDrlion i.c.
Dcliv..! Puiod:
Rirk purchrsa c
sotisficd bY
To.
M/s. SAI PA
8-2-700. Srida
Banjara Hills'
Mrhrrsshk Mcdi
from the SuPPlicI i
4. PtyE.ol Trrn3:
consigncc
with pcnlltY, thc
sourcc 8t such Pri
Purchaso ?o?1-?U
L
d
lon
Foa c
a
mpound, Uumbai 1l l00l
ilf- mahr.mmgna202l ilgmail co.n
7100 E-ma
e & MateIid Seclion/2023, dated 07 .' o'202J
llr
cutive Commince, Maharashtra as ;cr Minutes
Valid up ro 31.10.2023
tiative, PIP 2023'24 (Sr. No' 180),
Commitlcc, Mecting Dated 06' I0'2023
lni
abovc rcfcrcnce no.l, Yol have bccn
product as
ply the fol
separatclY
per valid ESIC Rate Co:ract w'r't'
ing goods to the consilnces as Pcr
ith this order).
2601950.00
N in. llurdrcd FAIIY OnlY
o lo
hoJ been opproved
proccdurc
tlcc
of stotr! in Sood condili$ bY thc
Q[: Scanned with OKEN Scanner
& acccpta
$canned with Camscanner
Nrmc of lhc
llcm
of itcm
wlll be exlto,
l'scklaS $ I'.r lislC lltL
of rccovcrY bY l{cvcnuc
Yo Payrnenl shall bc Pald ct
basis
dclivcry
ol
ol r.c.lJtl
d.lc
lht
hom
wccks
0tt:
to
fails
biddct
lf thc
canccllcd.
s!!nd
will
bc
not
should
udirwilY
which
tn
Thc cxra cxpcndituru
ofl'iccr.
AulhorilY,
Procurcmcnl
Goods
Procurement AuthoriiY
Authortty
-Oflicial bazelte, Da led lO' ttal,2021
undcr
'l otsl
Ar lounl
inc. udinB
Tcrnrr & Conrlitlonr, & Forwrrrling Frrc on Rold
----
Pagc 1
5327674/2025/SEC-R&I-ESICHQ
3
File No. e-U-25/12/NSQ/2022-MedV (Computer No. 12328)
Generated from eOffice by RAMESH KUMAR SAINI, PHA-MED5-RKS, PHARMACIST, Employees State Insurance Corporation (ESIC) on 23/10/2025 04:20 pm
(
I rhc n$ I I(. r\,'rJ ,.lror nr. nl (; ( t\'l:llil liN'l Ol' [l A I lA llAS I lTltA NO'l l;Oll .Sil l,l:" thould hc plntcd on
* .i;;l;;,i,,;,:i tn ..rr,txl,lr I'urflr. or (irccn (irlourr. llnr.cu(lin8 shorrkl lrc on hrxcr of Srrpplictl itcm 0t Cmsigocc
lqr r'l
t. ifti.l.f, t.lt:t.: of t1. rnlpllrrt rtrrE rloull nol $cl.rrlhm%of loltl rhrlf llfcrllhctlm.of dclivctt lo th.
conrlgncc
r r.".,irnn.. s ll.ccllx: ht |lrcscrilrrrl fornrnt cnckrscrl .lt should hc sltbmitlcd in Originrl Ccrtificarc copy to lhc
putrlr$inp trrrtht'r'itr IlorrF \rilh lril''lirnlc co|ics ofthc lnvoicc'
,1. ilu. Cnnri*n.", qFrn llc(.ril\t oflhc nrs(crirl should issuc ncccPtoncc ccrtificltc \Yilhin ? days o[rcccipt ofmatcrial
" ii rrrn .npicr. t)nc ropl., rhoull hnudcd orcr kr Supplicr ond Onc Copy should bc scnt Maharashtrs Mcdical Goods
iin,..n"nr"n, ,turhoriti,. Anrtrgr.n lthu,nn St.(icorgCs llospilnl Comp,ound, Mumbai by mail or cmail' (Ertll lD'
mrIn.nrmgpn20l3@Entnil.com)
e. lnrl!rls Rcport: lrllnufncturcs shoukl submit copy of l)ru$ onolysis- rcpon-to cach consigncc.for,eh^batch
srpplic.t sirir copS of r5c srnrc nlong rrirh invoicc to Chicf Exccutivc Officcr, Muhorashtn Mcdictl Coods
I'nrt'urcmt'nt Authorill'. Aorogyn tlhnvnn St.CcoISc'r llospil0l Compound, Mumbai
10. Dclir.c4 Chrllrn - Should bc scnt in thc namc oi conslgncc in duplicatc. lt should spccify N8mc of Dntgtl Mtg' by I
lirpiq Dntc / Jl|tcling & qurnlity.
ll. lnr.oicc Cop). - Should bc scnt in rriplicotc on rhc Nomc of Chicf Exccutivc Olliccr, Mah8rsshtra Mcdcal Goods
Pmcurcmcnt Authorily. Aorogyr Dhcvin St. Ccorgc's llosPitol ComPound, Mumhl'
Oth.r Tcrmi: As Jicr ESIC Rstc Controcfs tc.ms & conditlon3 will bc applicablc'
F.ll Churr: lt is c cmdition of thc conlroct that oll through thc currcniy thcrcof, thc pticc st which you- r'vill thc
suppll' storcs should not c\cccd tlrc loNcst pricc chargcd
-by you to sny customcr durin8 thc cunrncy-oflhc ratc
conlract snd that in lhc cvcnt of thc priccs going dolrn Sclowthc rarc clntract priccs you sh8ll promP(ly fuT tish such
informotion to us to cnabtc to tmcnd thc cont sct mtcs for tubscqucnt supplics'
12. You arc rcqucstcd lo submil follorving within l5 days from reccipt ofthis letter'
l. Sign and submit thc sgrccmcnt stlachcd hcrcwith on Stamp paper'
ll. Submit thciank Guaranrcc of lts.78059/- (3% of thc totll vslac of order) from. Nationalizcd Alchcdulcd
commcrcialbankinfavorofMahsrashtraMcdicalGoodsProcurcmcntAutholity,AarognBhavan
St.Gcorgc's Hospilal Compouna, Mumbai Validity o-f thc..Bank Guaranlcc should be minimm ncxt 2
monthsirom the datc ofcxpiry of warranty or cxPiry of mcdicinditem'
Ntm. of Accounl
Nsm! of Brrnch Account
No. of Accoutrt
IFSC Codr
cf,IicrExciutivcofl ictr,
Mahanshtra Medical
Goods Pmcurcmcnt
Authority, Mumb4L
Canara Bank,
Nariman Poinl Branch,
Murnbai
t20024122710
CNRBool5037
As pcr list cnclostJ.
w
(Dr'Umcsh Shirodkrr)
Gcncrel Menlgcr (Tccbnlcel)
Mohlrarirtro Mcdlcrl Good! ProcurtltEnt Authorlty
Mumbri
Copy lo: l) Commissioncr of llcallh Scniccs, Mumbri
2) Dircclor of Hcalth Scrvicc, Mumbai
ii -hi"fn."orn,, ,nd Financc ofiiccr, Mcdhsl coods procurcmcnt Authority, Mumbai
li Joint Dircctor of Hcahh Scrviccs (Procmmcflt Ccll) Mumbai
5) Ofiice Filc
copy to Consigncc(s):
Thcy should accept Drugs as per ordcr & cntrY of
as wcll as in c-Aushadhi system immcdiatcly within 24hrs of
coPY Submillcd lo: l) Addl. Chicf Secrctary, Public Hedth
2) Sccrcrary-2, Public Hcrlth DePsrtmenl'
Q[., Scanned with OKEN Scan
Scanned with CamScanner
I
Consigncc
5327674/2025/SEC-R&I-ESICHQ
4
File No. e-U-25/12/NSQ/2022-MedV (Computer No. 12328)
Generated from eOffice by RAMESH KUMAR SAINI, PHA-MED5-RKS, PHARMACIST, Employees State Insurance Corporation (ESIC) on 23/10/2025 04:20 pm
ULE FOR PACKING O
PACKAGING OF DRUGS
packed & Supplied in Presc
should weigh more than l5 Kgs
uld bc of 'A' gradc paper. i.e
ked only in lirst hand boxes onl
boxes should bc of nanow flute
d bc preferably single joint and
ld be stitched using pairs of
h pair. The boxes should be sti
uniformly meet but should not
be sealed with gum tape runni
should be strapped with two
box should carry a large out
RASIITRA NOT FOR SALE .,
cartoon should be luge at I
or fie product, date of man
ontain mixed products or mi
ablets/Capsulcs or multipbs of
of Aluminium foil : 40 mi
arlamber, food grade, bliser
Blister foil, VMCH coated,
strips should be packed in
It sball be fabricared from M
xes sball be packed in wca
ngth of minimum I 50 gsm It
sion of the cartoon should be
h international shipping
too heavy during transport as
tores
d be on secondary & T
ll cases should prominendy i
psub, Ampoule, Syrqrp, Vial)
piry (month and year) (in clear
ntairung -------- secondary pac
ll be marked with nomenclatu
gs and Cosmetics Act, 19,10 or
to provide barcode on packagi
xu
A
your paymcnt
and handling
acture
statements.
ld not crack
pack
bers
uct
oating : 60 gsm
I. SCHEDULE FO
:All drugs should
of FDA / ISI
l. No comrgate packa
2. All com,rgated boxes
3. All items should be
4. Flute - The corruga
5. Joirx - Every box sho
6. Stitching - Every box
Belween e
7. Flap - The flaps shoul
45 - 60 degree
8. Tape - Every box shou
9. Carry strap - Every
10. Label - Every comr
GOVERMENT OF MA
I l. Thc product label on
correct technical name,
weight of the box.
12. Other - No box shou
13. Prturary Psckage: I
Aluminium-PVCblis
Aluminium strips : Thic
PVC Film : Transparent,
coating : 25 microns, PV
Aluminium foil: Hard tc
Secondary Package:
box may contain l0 strip
bursting strength of 400 gs
Tertlary Package : The
cartoons, each ply having
material . The overall d
transportation and storage
that individual boxes are
at airpons and intermediate
Bar-coding: . Bar-coding
IV. Case Identilication -
l. Purchaser's line and code
2. The Generic Narne of the
3. The dosage form (llablet,
4. Date of manufacturc and
5. Expiration dt.( Month &
6. Batch Number
7. Quantity per case (Carton
9. Name and address of man
10. Any additional caut
V. Marking: Each packing
with the requirement of thc D
If your company fail
amount will be deducted fro
ESlc S Rats Contract Pu
ase Qo??-?8
Sca
C
DRUGS
MEDICINES:
MEDI
GENERAL SPECI FICATIONS
only & as per standarrl guidelines
(i.c. prod
irgin.
+ inncr carton + comrgated box)
t morc t
two Joints.
tal pins w
an interval of two inchrs
and not oined using calico at the,:omers
lap each
thcr. Thc flap when turncC by
lel nylon
straps (they should in ersect)
label clearl
indicating that the produ,:t is for
ble p
or Green colour.
15 cms * I
cms dimension. It shoul(l carry the
facturing,
of expiry, quantity pa( ked and net
batches of
e same product.
packed in an Aluminum r trip /
25 micron coating/heat s( al 0acquer
0 should
with LDP
ng PVC
lm, Film gauge - 200 mir:rons, P E
ckness
mm
for easy
ling, transpon and distribution. The
board/cardboard with ninimum of
nboard/gre
rcststant
le walled insulated corrugated 5 dy
uld be
cated from virgin qualiq' 'A" grade
that thc
uct does not get damaged during
n should
gh less than 50 kg. It i: imponanl
are frcq
ntly loaded and offloade,l manually
packin
only.
te the
ng
uage
code)
)
t.rl the ltcm
d shall be labelled in accordance
vant st
as applicable
al 5% amount on lotal t illing
Pagc 3
then addi
ned with CamScar ner
)
8. Special instructions for
along the lop and lower o;rning.
not
5327674/2025/SEC-R&I-ESICHQ
5
File No. e-U-25/12/NSQ/2022-MedV (Computer No. 12328)
Generated from eOffice by RAMESH KUMAR SAINI, PHA-MED5-RKS, PHARMACIST, Employees State Insurance Corporation (ESIC) on 23/10/2025 04:20 pm
3
CONTRACTFORM
THIS AGREEMENT made the .......day of...............
, 2023... Between
(Name of
purchaser) of.............. (Country of Purchaser) (Hereinafter "the Purchaser") of the one pan ad.....................
(Name of Supplier) of......................... (City and Country of Supplier) (Hercinafter called "tb Supplier") of
the other part:
WHEREAS the Purchaser is desirous lhat cenain Goods and ancillary services viz. (Brief Description of
Goods and Services) and has accepted a bid by the Supplier for the supply of those goods aod rervices in the
sum of.............................. (Contract Price in Words and Figures) (Hereinafter called'rthe Contrct Price").
NOW THIS ACREEMENT W]-INESSETH AS FOLI.OWS:
l.
In this Agreement words and expressions shall have the sanre meanings as are r€spectitcly assigned to
them in the Conditions of Contract referred to.
2.
The following documents shall be deemed to form and be read and construed as part of this
agreement,
viz.:
(a) The Price List submitted by the Supplier;
(b) The Schedule of Requircments;
(c) The Technical Specifications;
(d) The Ceneral Conditions of Contract;
(e) The Special Conditions of Conrsct; and
(f) The Purchaser's Notification of Award.
ln consideration of the paynrents to be made by the Puchascr to the Supplier as hercinafter firentioned,
the Supplier hereby covcnants with thc Purchaser to provide the goods and serviccr and to renrdy
defects therein in conformity in all respects with the provisions of the Contract.
The Purchaser hereby covenants to pay the Supplier in consideration of the provision of the goods and
services and the rernedying of defects thercin, the Contract Price or such othcr sum as may bccomc
payable under the provisions of thc Contract ai the times and in the manner prescribed by the Contract.
Brief paniculars of the goods and services which shall be supplied/provided by tbe Supplier are as
under:
SR.
NO.
BRIEF DESCRIPIION OF
GOODS & SERVICES
QUANTITY
TO BE
SUPPLIED
UNIT
PRICE
TOTAL
PRICI
TOTAL VALT.IE:
DELIYERY SCITEDTJLE:
IN WITNESS whereof the parties hereto have caused this Agreement to be executed in accqdance with their
respeccive laws the day and year first above written.
Slgned, Sealed and Dc[verrd by the
Said..
(For the Purchaser)
In the prcsence of: ..........
Slgped, Sealed and Dellvered by lhe
Said......................
.. (For the supplier)
ln the presence of
ESIC $ Rate Contract Purchas€ ?o?i-?8
l)agc 4
Scanned with CamScanner
Df,LIVERY
TERMS
5327674/2025/SEC-R&I-ESICHQ
6
File No. e-U-25/12/NSQ/2022-MedV (Computer No. 12328)
Generated from eOffice by RAMESH KUMAR SAINI, PHA-MED5-RKS, PHARMACIST, Employees State Insurance Corporation (ESIC) on 23/10/2025 04:20 pm
Supplier' has undertaken, in
been stipulated by you in the s
ognized banl for the sum s
ligations in accordance with
ve agreed to give the Supplier a
y affirm that we arc Guarantors
you, upon your first writtcn d
il or argument, any sum or s
thout your needing to prove
Signalure and lkal of G
202
.(
I the ........day of
Addrcss
Datc
(Namc of Purcha
SECURITY
Sca
,
To,
WHEREAS.....
Hcrcinaftcr called
supply...
"the Conract"
AND WHEREAS it h
Bank Guarantee by a
Supplier's perfo
AND WHEREAS we
TIIEREFORE WE
to a total o f...................
and we undenake to pa
Contract and without ca
Guarantee) as aforcsaid,
sum specified therein.
This guarantee is valid
ESIC $ Rat€ contract Pu
IT
RIlI
)
ame of Su plicr)
rsuancc
Conract No
dated, 200.... to
ption
Goods and Serviccs) h')reinafter called
d Con
that the Supplicr shall furnish you with a
fied
in as security for compliancc with the
Contract
uaranlee
resPon
blc to you, on behalf of tlre Supplier, up
... (Amou
of the Guarantec in Wor( s and Figures)
dcclari
the Supplier to be in default under the
within the
mit of -....
(Amount of
to show
und or reasons for your ,lemand or the
nlors
-
Pagc 5
ned with CamScanner
?o?tr-?8
I.........
5327674/2025/SEC-R&I-ESICHQ
7
File No. e-U-25/12/NSQ/2022-MedV (Computer No. 12328)
Generated from eOffice by RAMESH KUMAR SAINI, PHA-MED5-RKS, PHARMACIST, Employees State Insurance Corporation (ESIC) on 23/10/2025 04:20 pm
FORX t3
(S.. ruL /t6l
CERNFrcATE OF TEST OR A'{ALYSIS BY GOVERTIE T AIIALYST UIDER
SECT]OX 25(11 OF THE ORUGS AXD COSTET|CS ACT, r9a0
2. Sarial No. and date ot lnlpactor'a mcrloaanalrm
3. llumbrr of Srmplr
.
: LS tttzJMGnOzaBT
a. Drto of rrc.lpt
: 26sEP_202a
5. r.rn6 of dnl! pnrpordng to b. cont in d h rh. rrDpb : lron sucrole rnircrbn usp too rngrfir{
1. Nama of lmpector ,mm whom l.coiyad
a. Coid0o.! ol a{b qt
[th. p.d(ct or m po.fbn or.rtrpa. d dta.iEt
Sr t{o.
T.st Namo
: Mr. Manol Nrlkant Gambhrrc .Drugs lnsp-lor
Wei Zon€ -1 Mumbar CDSCO (We3t ZorDt) 4th Floor
Zonal FDA thayan. GMSD Compound. Sala3rs Road
Mumb.r Central.Mumbei-a0000E (tndie)
: 3{/MG/CDTL-Mu.rNV7t2!'2./ 195E. 26-SEp-2024
S€als were mtad E derircal to tll
speomen rnprcrsi:n of lha tcal ttcavod
ftom Orugs lnspcclor
Result
Limits
ro^rn cobured solut()n n 3ralcd ambcr gE3S
colourcd anpoules h pt8lc lrey supplicd h papcr
cerbn-
ffi
I Oo"3 rEl comply (9.8a)
t0.5 to 1r r
Ooes not conply (0 357 m0
5ro06mt
Comples (t 1508 gm/ml)
f,f5'"'u
7. R6ult ot t .t o? .n lyrla wltt, protocob o? ta.l d analtrb aFfi.r, : pLa. aaa b.low
O.tr ot T.rtlng : F lln Olrrrr},2o2! To 0afob-102!
coMPostTtoN
3pH
4
I Al(.lin ty
s
I Speanc Grev*y
L.b. S.mpL tto.
Roporl t{o.
Batch llo.
D.t of
',tg. D.t ol Erp.
mfg. 8y
LSO/MUM/'2024-
25r!639
MUM/LS2024.
25t 1026
23rS10
142023
11nO25
Sat Parcntcfr Linrrted
OlEOrt. Survt, No.280.
PhasG,V. I OA.lecdimcir.
Hyderaba4500055.
_Tclangdlr lndia
Centr.l Orug! T..ting L.bor.tory - Iumbrl
cDsco' oGHs, ini3try ot H..lth t F.mity w.tf.r., Govt. ot lndir, zonll FDA Bh.wrn, B-al3 Ro.d,.
GXSO Compound lumb.i Centr.t (lndirl - 40{100!
A
Fer : 022-230992rO Ptron [o.022-23qt2!09, 022-23{r0Zt3E
Em.il:cddmumbt(!cd3co.nic.in
I
Each 5 ml Ampoub Conlarn3 Ferrrc Hydroxde rn Comptex wlth SlEros€
equryaEnt to elemental lron t00 rrE
Watar lo. lnFcton lP q s
Protocol Aoolled : U.S.P.43
l
5327674/2025/SEC-R&I-ESICHQ
8
File No. e-U-25/12/NSQ/2022-MedV (Computer No. 12328)
Generated from eOffice by RAMESH KUMAR SAINI, PHA-MED5-RKS, PHARMACIST, Employees State Insurance Corporation (ESIC) on 23/10/2025 04:20 pm
Dato (
MUM/LS
FICATE OF TEST OR ANAL
sEcTroN 25(1) OF THE
to b€ containod in tho srmple : I
Batch No.
23rS 10
o
srs
UGS
hom recoivsd
rU
1,A )23
1t
p.otocol! o. toSl or analyals ap
025 To 0,t-Fob.2025
Each 5 rnlAmpouh Co4arns
equryalent to elcmentel lton I
Wat r b ln ecton lP q.!. I
ple or c6n1316"r;
ti
Pro o
,
CER
t. N.mo ol lnrpactor trom
2, Serial No. and d.to ot lns
3. Humber ot Sampls
4. Oato ot rocaipt
5. Namo6 o, drugt pu.portin
Reporl
1SoruUM2024.
25m539
6. Condiuon ol serls on
Ithe plcket or on portion of
7. Rosult ot test or analy6i!
Oate of Testing : From olJan
coMPostrloN
Sr No.
T€st Na
pH
AJtaInty
5pe-atii-Orev'ri
5
Minisaty o
H eallh
am
& F
99240
Email;
bai@cdsc
ntc.ln
o
o.022.2
309,022-23002r38
13
46)
GOVERN
ENT ANALYST UNOER
ACr, 1940
NO COSM
ManoJ Nil
nl Gambhire ,Orugs lnsp, )dor
st Zone -'l Mumba CDSCO (West Zoo|-lr.lth Floo.
FOA
awan. GMSO Compound 8:tlasr! Road
bei Cen
l.Mumbai-.100008 (lndia)
MLrt{WZn|24l 1958 . 26-SC P-202/i
SEP-202.1
Sucrose I
ion USP 100 oE/sml
Csn taa u
Tos
La bora
- Mumbai
re. Govt.
lndi!, Zonrl FOA Bhrwrn. Bol.3i3 Road,
G
So
om
Mu
bai Central lndia) - 400008
F ;t
0
2
3 0
Mlg.
o, Erp
Mfg. By
SAI Parenteiats LinrrteO
OlEO.4, Survey i1o.260.
Phase-V. lOA,Jeel limetls
Hyd crabaG 50C 05 5.
Telangana. lnr,ia
o"r{
Seals wer
3pccimen
from Drug
rnlact & rdenlrcal to lhe
pression ofthe seal recerv! d
lnspector
(.rl
c ,, se see bolow
efric HydrorFe in Complex wth Sucrose
m9
.43
esult
Limit
NA
I Brown coloured sbluto
tn sealed a
er glass
coloured ampoutes rn
carrtaa
lray 3u
led n papar
fot I
end Sucro
Does not comply O.84,
' Compftes (l l50S 6nvmtr
;--l
L_l0 5 ro l1 1
05lo08m
I r 'r35 to I ttis
| g,wrr
cosco, Dof,
Itlt
foctor's memorandum
Lab. Sampls No.
2si 10i
L-
,
5327674/2025/SEC-R&I-ESICHQ
9
File No. e-U-25/12/NSQ/2022-MedV (Computer No. 12328)
Generated from eOffice by RAMESH KUMAR SAINI, PHA-MED5-RKS, PHARMACIST, Employees State Insurance Corporation (ESIC) on 23/10/2025 04:20 pm
,articulate Man6r ln tniectton3 | Oo€s not comrry
Sleriktt
ontarner Contenl
Assav
Sr.No I ln9rcdi€nt Namc
Found
Procedurc / Mclhod
l
END O
i
6
I
Sucros€
]_ _
_
i ComPres
I
)
lcorriprrei
I _,,.
i Complies
t
64 mg/ml
mg/ ml to
mg/ iil
USP
Ncle ' i, ,r.5 )er sample label the Balch No of the saflple rs " 23lStO'where as In the Fo(rn, 18 rt rs stated ilo'23/Sl0
ll) Oiher l€st coulci nol be done due lo lechnrcal reason.
-l
k
ti
'.r
r^.
ilf
. I lrf,l.'r li
i...,'.. , :
5327674/2025/SEC-R&I-ESICHQ
10
File No. e-U-25/12/NSQ/2022-MedV (Computer No. 12328)
Generated from eOffice by RAMESH KUMAR SAINI, PHA-MED5-RKS, PHARMACIST, Employees State Insurance Corporation (ESIC) on 23/10/2025 04:20 pm
