PROFORMA-* CF Sr. No. MPMC *****
MADHYA PRADESH MEDICAL COUNCIL
(F-7-8, Sanchi Complex, Opposite Board Office Bhopal Madhya Pradesh (INDIA)- 462016)
CERTIFICATE OF REGISTRATION
(U/s-11(5) of the M.P. Ayurvigyan Parishad Adhiniyam, 1987)
PERMANENT REGISTRATION
1. REGISTRATION NO. : MP-32029
2. NAME : Dr.Soumya choudhary
3. FATHER'S NAME : RAMWATAR SINGH BAGARIA
4. DATE OF BIRTH : 22/10/1996
5. QUALIFICATION : MBBS
6. MONTH & YEAR OF EXAM : April/2021
7. UNIVERSITY : Madhya Pradesh Medical Science University,
Jabalpur
8. MEDICAL COLLEGE : Amaltas Institute of Medical Sciences, Dewas
9. INTERNSHIP COMPLETION DATE : 25/05/2022
10. PERMANENT ADDRESS : VILLAGE SIGDOLA CHHOTA City:- Sikar District-
SIKAR Pin Code- 332041
11. DATE OF REGISTRATION : 27/07/2022
12 REMARKS : NA
It is hereby certified that this is a true copy of the entries made in the State Medical Register in respect of
the name specified above.
REGISTRAR
MADHYA PRADESH MEDICAL COUNCIL
BHOPAL
Digitally Signed By Rajendra Kumar Nigam
i. Any changes in this certificate must be communicated by RMP to the Registrar, MPMC
(Personal)
IMPORTANT NOTICE - immediately with the appropriate documents Date : 29-Jul-2022 14:31:46 IST
ii. This is the digitally signed certificate and does not require any validation.
iii. To validate the certificate details, you can go to the MPMC website’s search your doctor
section.