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Pritha Saha, a 23-year-old pharmacist, affirms her qualifications and employment status in an affidavit submitted to the Executive Magistrate in Jalpaiguri. She is registered with the West Bengal Pharmacy Council and has completed various training programs, including industrial and hospital training. Currently, she works at Star Hospital Siliguri and has a strong educational background in pharmacy.
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PRITHA SAHA
SHAKTIGAR
4NO ROAD
SILIGURI BAZAR
WARD NO 31
Sliguri Municipal Corporation
Siliguri Bazar.Jalpaiguri
West Bengal - 734005
09/07/2014
KL950084983FT
95008498
STATA BATA Heat / Your Aadhaar No. :
6316 0564 4019
PRITHA SAHA
‘ror | ere ra Tet
Father. Pranab Kumar Saha
ever / 008 26/07/2001
fen / FemaleFARA Ute
GOVT. OF INDIA
tardt cre eat HTS
Permanent Account Number Card
OLKPS3304G
‘aTa/ Name
PRITHA SAHA
‘Tam &T ATA/ Father's Name
PRANAB SAHA
i Sate Mato Gaho-
25/07/2001 BEAT AT/ Signature
11082021878616
ENGAL
IN THE Court OF THE LD. EXECUTIVE
MAGISTRATE
AT JALPAIGURI
AFFIDAVIT MADE BY-PHARMACIST FOR RETAIL SALE
AFFIDAVIT
I, PRITHA SAHA, daughter of Pranab Kumar Saha, aged about 23
years, Pharmacist by occupation, permanent resident of Shaktigarh
Road No. 2, Ward No. 31 of Sil igus Municiapl Corporation, P.O. Siliguri
Bazar, P.S. NJP, Dist. Jalpaiguri, West Bengal, Pin - 734005 - do hereby
solemnly affirm and declare as follows :
1. That I am a citizen of India by birth and my date of birth is
25/07/2001.
2. That I am not in the employment under “Government or any
Government Institution or Government undertaking Organization
or in any statutory organization as on till date,Page - 2
3. That am a registered 5),
Bengal Pharmacy Coun,
‘Armacist having registration number A-36710 of West
. which is valid upto 31/12/2025.
SSesThat Lave BEN APPoin tered pharmacist in charge on whole time
oonccinais in tra OF PTOsiony or Rule 65(15) of the Drugs & Conmotic Rules, 1945
bs on NISHA PRIVATE,“ WASHIF RASHID directors of M/s. DR ANISHA SKIN
fs/ » 18/768/19,E™trep having its address Holding No,
1769/ fi 2/13/61 17426/428, Burdwan Road, 2! Floor, Capital One
uri Municipal Corporation, P.O. Siliguri Bazar, PS.
PatiCcling | Pin- 734005 with effect from 04/04/2024 and |
seeton to supervise the sale, purchase, distribution,
Pensing of the drugs from the proposed medicine shop.
7
5. That | am not attached anywhere else as a pharmacist or in any other capacity
eee Te eke Mentioned firm and was not engaged previously as a
pharmacist anywhere cise.
ene a ea titel che no objection if the reverse side of my original
Tesistration certificate is stamped by the Drugs Control Authority while granting,
licences.
7. That Lam not convicted by any court of law in India or abroad,
8, That in the event of my above statements are found false, I shall be liable to all
legal consequences and an
registered pharmacist is co:
'y action can be taken on my ethical standards as a
ncerned.
i nal Code~(IPC) and 1 may be prosecuted by the
appropriate authority before and even after issuance of licenses for such act,
‘Tietha Soha
Deponent
Verification
That all the statements made above are correct and true to the best of my
knowledge and belief and I sign this affidavit on day April, 2024 at
Siliguri.
H found fault t shall be liable to be punished u/s. 193 of the IPC.
Re
Ritihe Soto
Deponent
Identified by me and signed in my presence
Bo We Cr...
/+]] Advocate, Siliguri
Solemnly affirmed and declare before me y
=
ative Mag
IWS
eld \ ovWest Bengal Pharmacy Council
CERTIFICATE OF REGISTRATION
oe
Regishation Nos
zesiding at.
PQ STLIGUS
Bipnanerof the Regi
Registrar
Purta Bhavan, Sec-I, Bidhannagar, West Division,
Ground Floor, Room No. 5 & 6, Kolkata - 700091
1) This certificate is the property of the West Bengal Pharmacy Council and is issued to the above named
Pharmacist.
ii) This certificate shall remain in force till 31.12.20.2-S. and shall not remain valid after this date unless
renewed annually.
SP- 27189See aad
P/O-Siliguri Bazar
Ee ee ard
Pin Code - 734005
EPR
RO aR la
PROFILE
Dee anne ence)
medication therapy management and
Peers eect ttt)
Mra erence
providing personalized care tailore
Pienemann
oe Oe Se ee ceo)
accuracy. Seeking opportunities to
Pore teae eerie itty
AREAS OF EXPERTISE
Healthcare Management
Werte Curent
pene a eta
rene pects
DPPC eos
Emenee innit
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PRITHA SAHA
CERTIFICATES OF TRAINING COMPLETION
© CIPLALTD.
Duration: 9th January 2023 - 20th January 2023 I hereby certify
that industrial training was successfully completed under the
guidance of Miss, Pratika Pandey at CIPLA LTD. Unit-1, Kumrek,
Rangpo, East Sikkim - 737102.
SILIGURI DISTRICT HOSPITAL
Duration: 3rd August 2023 - 9th September 2023 This isto certify
that hospital training was satisfactorily completed at Siliguri District
Hospital, Kachhari Road, Siliguri Pin - 734001, Dist - Darjeeli
under the guidance of Mr. Amit Baran Sarkar
WORK EXPERIENCE
Pharmacist | Star Hospital Siliguri | September 2024 - Present
DE
NATION KEY ROLES :
4 Dispense medications and counsel patients on proper usage and
side effeets
4M
compliance with pharmaceutical regulations.
age inventory as well as accounts and billing and ensure
4 Collaborate with healthcare professionals to optimize patient
treatment plans.
EDUCATION
EDUCATIONAL ACHIEVEMENTS :
Siliguri Girls' High School
> 2017: Passed 10th Standard with Grade: A:
> 2019: Passed 12th Standard with Grade: A
* sil
im Professional College of Pharmaceutical Sciences
> 2023: Graduated in Bachelor of Pharmacy with Grade: A,
COMMUNICATION
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