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| WEST BENGAL DENTAL COUNCIL Certificate of Registration under Dentist Act, 1948 ( XVI of 1948 ) This is to certify that the person named below has been registered as a Dentist under Section 33/34, of the Dentists Act, 1948, (XVI of 1948 ) |
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| Doctors Regd. No: | 72-H | |||||
| Name: | SURAJIT JANA | |||||
| Son of: | SUBHASH JANA | |||||
| Date of Birth: | 6-Oct-1979 | |||||
| Sex: | Male | |||||
| Nationality: | INDIAN | |||||
| Residential Address: | VILL & P.O-PASCHIM NAICHANPUR, P.S.-MOYNA, DIST-PURBA MEDINIPUR, PIN-721642. | |||||
| Date of 1st Admission in to the Register: | 24-Jun-2019 | |||||
| Qualification for Registration: | DENTAL HYGIENIST | |||||
| College / University: | ARMED FORCES MEDICAL COLLEGE, POONA | |||||
| Certificate valid till: | 31-Dec-2020 | |||||
| Date of Degree Or Diploma in Dentistry: | 2004 | |||||
| Additional Qualification- 1: | ||||||
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| Date of Degree Or Diploma in Dentistry: | ||||||
| Additional Qualification- 2: | ||||||
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| Photo: |  | |||||