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Solutions / Services / Compliance
Services
Compliance & Licensing
Every approval a healthcare facility needs to open, operate and stay open — drug licences, medical device registrations, AERB radiation clearances, PCPNDT, FSSAI and the full stack of hospital statutory paperwork. Documented, filed, followed up with the authority, and renewed before it lapses.
Why it sits on the critical path
Equipment arrives in weeks. Approvals take months.
Facility openings are rarely delayed by supply. They are delayed by a room layout that was never submitted to AERB, a bio-medical waste authorisation nobody applied for, or a drug licence filed without a registered pharmacist on record. We run the licensing track in parallel with the build and the procurement — from the day the site plan is drawn — so the paperwork is ready when the doors are.
One owner, every file
A single point of contact holds the complete approval register for the facility — not a different consultant per authority.
Filed, not just advised
We compile the dossier, submit on the portal, attend the inspection and close the queries the inspector raises.
Nothing lapses
Every licence, consent and authorisation goes onto a dated renewal calendar with reminders held on our side too.
Track 01
Drug licences
Filed with the State Food & Drug Administration under the Drugs and Cosmetics Act, 1940 and Rules, 1945. The application itself is short; what decides the timeline is the premises evidence, the qualified-person record and the storage proof. We build all three before filing, which is why queries are rare.
Retail sale licence
FORM 20 & 21 · STATE FDA
For hospital pharmacies and standalone chemists. Requires a registered pharmacist on record with registration certificate, appointment letter and biometric attendance where the state asks for it.
Wholesale licence
FORM 20B & 21B · STATE FDA
For distribution, group purchasing arms and hospital central stores that issue to other units. Needs a competent person — graduate with one year of experience, or four years of trade experience.
Cold-chain categories
FORM 20F / 21F · SCHEDULE C & C1
Additional endorsement for vaccines, biologicals, insulins and sera. Requires calibrated refrigeration, a validated data-logger record and a documented power-backup arrangement.
Schedule X and narcotics
SCHEDULE X · NDPS / STATE EXCISE
Separate endorsement for psychotropics, plus an Essential Narcotic Drug licence for morphine and its analogues where palliative or oncology care is offered. Covers the double-lock register and consumption records.
Blood centre licence
FORM 27C · CDSCO / STATE FDA
Licensing of a blood centre or storage unit, including the technical staff schedule, equipment list, SOP set and the component-separation endorsement if you plan to prepare components.
Amendments and renewals
FORM 19 · CHANGE INTIMATION
Change of premises, constitution, partner, competent person or additional category. Each of these is a filing in its own right and is the most commonly missed obligation we find on audit.
What we prepare: site and layout plan with carpet-area certification, ownership or registered leave-and-licence proof, constitution documents, qualified-person dossier, refrigeration and air-conditioning invoices with calibration certificates, blueprint of storage racks, declaration set, fee challan, and the covering technical note that answers the inspector's usual questions before they are asked.
Track 02
Medical device licences
Devices moved from the Drugs regime into the Medical Devices Rules, 2017, and risk classification now decides who licenses you and how much technical evidence is required. We classify each SKU first — Class A, B, C or D — then file only what that class actually needs.
Sale and distribution registration
FORM MD-41 → MD-42
Wholesale or retail sale of notified medical devices. Includes the device schedule, competent person record and premises evidence, filed on the State Licensing Authority portal.
Import licence
FORM MD-14 → MD-15 · CDSCO
For facilities and distributors importing devices directly. Covers authorised-agent appointment, free sale certificate, ISO 13485 and CE / US FDA evidence, and the device master file set.
Class-based dossier build
CLASS A / B / C / D
Risk classification per SKU against the CDSCO notified list, with the essential-principles checklist and labelling review that must match the pack you actually receive.
Import and clearance support
REGISTRATION CERTIFICATE / NOC
Port documentation, no-objection certificates for test and demonstration units, and the paperwork trail customs asks for on equipment arriving for installation.
Track 03
AERB radiation approvals
Any facility with an X-ray tube or a radioactive source needs clearance from the Atomic Energy Regulatory Board, filed on the eLORA portal. This is the track that most often stalls an imaging department, because the room has usually already been built by the time anyone reads the safety code. We start at drawing stage instead.
eLORA registration and licence
AERB · eLORA PORTAL
Institutional registration, user creation, equipment mapping and the licence application for each installation — diagnostic radiology, dental, mammography, CT, C-arm, cath lab or bone densitometry.
Room layout approval
SITE LAYOUT / NOC
Room dimensions, barrier thickness and lead equivalence calculated against the AERB safety code, drawn to submission standard, with occupancy of every adjacent space justified.
Radiation Safety Officer
RSO LEVEL I / II / III
RSO nomination, certification route, approval filing, and the responsibilities register the RSO must maintain — including area monitoring and QA test schedules.
Personnel monitoring
TLD / OSL BADGES
Enrolment with an approved monitoring lab, badge issue and quarterly dose record maintenance, plus investigation paperwork if a dose threshold is crossed.
Shielding and QA certification
QA TEST REPORTS
Lead-lining and viewing-panel certification, warning signage and interlock verification, and the periodic quality-assurance testing record that must be produced on inspection.
High-tier installations
RADIOTHERAPY / NUCLEAR MEDICINE
Multi-stage consenting for linear accelerators, brachytherapy, gamma cameras and PET-CT — siting consent, construction consent, commissioning, source procurement authorisation and eventual disposal or decommissioning approval.
Track 04
PCPNDT registration
Under the Pre-Conception and Pre-Natal Diagnostic Techniques Act, 1994, every machine capable of detecting foetal sex must be registered before it is switched on, and the record-keeping obligation is continuous. Enforcement is district-level and strict — sealed machines and suspended registrations usually follow a paperwork failure, not a clinical one.
Registration application
FORM A → FORM B CERTIFICATE
Filed with the district or municipal Appropriate Authority as a genetic clinic, laboratory, counselling centre or imaging centre, with the certificate valid five years.
Machine and qualification mapping
EQUIPMENT + DOCTOR RECORD
Each ultrasound machine listed with make, model and serial number, mapped to doctors whose qualification or six-month training certificate satisfies the rules for that machine.
Form F and monthly returns
FORM F · MONTHLY SUBMISSION
Per-scan Form F discipline, the register format, retention rules, and the monthly return to the Appropriate Authority — including online submission where the state mandates it.
Signage, renewal and changes
RENEWAL / TRANSFER / SHIFTING
Mandatory notice boards in the prescribed languages, renewal filing ahead of expiry, and the intimation route for machine transfer, disposal, address change or a change in the doctor panel.
Track 05
FSSAI licensing
A hospital kitchen is a food business. Diet kitchens, patient meal services, staff canteens and leased cafeterias each need to sit under the correct FSSAI tier, and inspectors look at the same premises a health officer already visited — with a different checklist.
Tier assessment and filing
REGISTRATION / STATE / CENTRAL
The right category selected on turnover and footprint, filed on FoSCoS with the correct product categories rather than a generic catering entry.
Premises and process annexures
LAYOUT · EQUIPMENT · WATER TEST
Kitchen layout, equipment and capacity list, potable water analysis report, pest-control contract and the food-safety management plan the application asks for.
Food safety supervisor
FoSTaC CERTIFICATION
Identification and FoSTaC training of the supervisor, with staff medical fitness records and the hygiene training register maintained thereafter.
Renewal and annual return
RENEWAL · FORM D1
Licence renewal ahead of expiry, annual return filing, display obligations, and the corrective-action file if a hygiene rating audit raises observations.
Track 06
Hospital statutory paperwork
The bulk of the work, and the part that is almost always underestimated. A mid-sized hospital carries between fifteen and thirty live registrations across half a dozen authorities, each with its own renewal cycle, return and inspection. We build the full register for your facility, file what is missing, and hand you a calendar you can audit against.
Clinical establishment registration
CEA 2010 / STATE NURSING HOME ACT
Provisional and permanent registration under the Clinical Establishments Act or the applicable state nursing home legislation, with the staffing, equipment and minimum-standards schedule.
Bio-medical waste authorisation
BMW RULES 2016 · FORM II
Authorisation from the State Pollution Control Board, agreement with an approved common treatment facility, colour-coded segregation SOP, barcoding, and the annual return by 30 June.
Pollution board consents
CONSENT TO ESTABLISH / OPERATE
Consent under the Water Act, 1974 and Air Act, 1981 covering effluent treatment, DG set emissions and stack height, with periodic monitoring reports.
Fire and life safety
PROVISIONAL & FINAL FIRE NOC
Fire scheme approval at design stage and the final no-objection certificate after installation, with the annual fire safety compliance certificate thereafter.
Municipal and local body licences
HEALTH TRADE / SHOPS & ESTABLISHMENT
Health trade licence, shops and establishment registration, occupancy certificate follow-through, signage permission, water and drainage connection, and lift and generator clearances.
Medical gas and pressure systems
PESO · SMPV(U) / GAS CYLINDER RULES
Licensing for bulk liquid oxygen tanks, manifold rooms and cylinder storage, with the pipeline test certificates and operator competency record.
Speciality-specific registrations
MTP · THOTA · ART & SURROGACY · AYUSH
Approval of place for medical termination of pregnancy, transplant registration and authorisation committee paperwork, ART and surrogacy clinic registration, and AYUSH unit permissions where offered.
Labour and tax registrations
EPF · ESIC · PT · GST
Statutory employer registrations, contract labour licensing for outsourced housekeeping and security, professional tax and GST enrolment for the entity operating the facility.
Laboratory and imaging add-ons
NABL / NABH READINESS
Document control, SOP sets, internal audit and quality-manual preparation where you intend to go for accreditation after the statutory licences are in hand.
Accreditation-grade record keeping
REGISTERS & DISPLAY BOARDS
Statutory registers, rate-list and grievance display boards, patient-rights charter and the document set an inspector from any of these authorities will ask to see first.
How the engagement runs
From site plan to grant, in six stages
The same sequence whether we are licensing a single ultrasound machine or opening a 100-bed hospital. What changes is the number of parallel tracks.
1
Applicability audit
We walk the plan or the premises and produce the definitive list of approvals your facility needs — by state, by district, by speciality. Most clients discover two or three obligations they had not accounted for.
2
Document build
Every annexure prepared and checked against the current rule text: layout drawings, area certificates, staff dossiers, SOPs, calibration and test certificates, constitution and tenure documents.
3
Filing
Submission on the relevant portal — eLORA, FoSCoS, CDSCO, the state FDA and pollution board systems — or physically where the authority still requires it, with fee payment and acknowledgement captured.
4
Liaison and query closure
We follow the file. Deficiency memos, clarifications, additional-document requests and hearing dates are handled by us, with a status update you can forward to your board.
5
Inspection readiness
A mock inspection before the real one: registers in place, signage up, staff briefed on what they will be asked. We attend the inspection with your team.
6
Grant, register and calendar
Certificates handed over as originals plus an indexed digital set, entered into a renewal calendar with owner names and lead times, and reviewed with you every quarter.
Working with local bodies
The rules are national. The practice is local.
Two districts in the same state will ask for different annexures for the same licence. Ward-level health officers, district Appropriate Authorities and regional pollution board offices each have their own filing habits, sitting days and preferred formats. We work to the local practice rather than the circular, and we do not hand you a form and wish you luck — we sit in the queue.
Municipal corporation / ward office
Health trade licence, shops and establishment registration, signage, water and drainage, occupancy follow-through, ward health officer inspections.
State Food & Drug Administration
Drug licences, medical device sale registrations, blood centre licensing, inspections, deficiency memos and category amendments.
District Appropriate Authority
PCPNDT registration, renewals, machine transfers, Form F scrutiny and advisory committee appearances.
State Pollution Control Board
Bio-medical waste authorisation, consent to establish and operate, effluent and emission monitoring, annual returns.
State fire services
Fire scheme approval, provisional and final NOC, annual compliance certification and remedial observation closure.
AERB (central, filed locally)
eLORA submissions, layout approvals, RSO approvals, and coordination with the regional inspecting officer for site verification.
Labour, tax and utility departments
EPF and ESIC, professional tax, contract labour licensing, GST, electrical inspectorate clearance for lifts and generators.
After you are live
Compliance is a calendar, not a project
Most penalties we are called in to fix are not the result of doing something wrong. They are the result of a renewal date that passed, a return that was never filed, or a register that stopped being filled in three months after the inspection. An annual retainer keeps the register live.
Renewal calendar with lead times, filed ahead of expiry rather than on it — drug licences, PCPNDT certificate, FSSAI, fire, consents and BMW authorisation.
Statutory returns filed on schedule: bio-medical waste annual return, FSSAI annual return, PCPNDT monthly submission, pollution monitoring reports.
Register and record audits — Form F files, narcotics double-lock register, TLD dose records, temperature logs, waste manifests.
Amendment filings when anything changes: a new pharmacist, a shifted machine, an added floor, a change in constitution or ownership.
Inspection representation and response drafting when a notice, memo or show-cause arrives.
What you receive
An applicability report listing every approval your facility needs, with authority, fee, timeline and dependency.
A complete filed dossier per approval, with acknowledgements and portal references.
Original certificates plus an indexed digital archive your team can access.
SOPs, registers, display boards and signage in the prescribed formats.
A renewal calendar with named owners on your side and ours.
Scope note: we prepare, file and represent on documentation. We do not certify structural or electrical works, and we do not guarantee an outcome that rests on the authority's discretion — where a premises or staffing gap will fail an inspection, we tell you before you file.
Who we do this for
New builds, expansions and clean-ups
Compliance work usually arrives in one of three shapes: a facility being built, a facility adding a department or a machine, or a facility that has received a notice. We take all three, and the second and third are the more common.
Hospitals and nursing homesDiagnostic and imaging centresPathology laboratoriesHospital and retail pharmaciesDialysis centresBlood centresDay-care and OPD clinicsIVF and ART clinicsOccupational health centresVeterinary hospitalsMedical device distributorsCorporate and CSR health projects
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