Drug De-Addiction Registry Portal Department of Health & Family Welfare, Government of Punjab

Type of Centre *

Type of Centre is mandatory

Full Name *

Owner Name is mandatory

Father's Name*

Father's Name is mandatory

Mobile Number *

Mobile Number is mandatory

Email*

Owner Email is mandatory

District *

Tehsil *

Rural / Urban *
Rural Urban

Owner Rural / Urban is mandatory

City/Town*

Village*

Address*

Owner Address is mandatory

Pin Code*

Owner Pin Code is mandatory

Name of Centre*

Centre Name is mandatory

District *

Tehsil *

Rural / Urban *
Rural Urban

Rural / Urban is mandatory

City/Town*

Village*

Location of Centre*

Location is mandatory

Pin Code*

Centre Pin Code is mandatory

Number of Beds*

Number of Beds

Bio-Medical Waste Arrangement*
Yes No

Biomedical Waste Arrangement is mandatory

Fire Safety Arrangement*
Yes No

Fire Safety Arrangement is mandatory

Rent Agreement / Land Registry (PDF upto 200KB) *

Please upload Rent Agreement/Land Registry

Fire Safety Agreement (PDF upto 200KB) *

Please Upload Fire Safety Agreement

Building Map (PDF upto 200KB) *

Please Upload Building Map

Number of Ward Attendant (1:20)*

Number of Ward Attendant is mandatory

Number of Sweeper (Adequate)*

Number of Sweeper is mandatory

Number of Security Guard*

Number of Security Guard is mandatory

If Yes, Number of Cook cum Helper*

Number of Cook cum Helper is mandatory