The Practice License of Medical Institution of

The People's Republic of China

(Duplicate)

Registration Number: xxxxxxxx

The Organization Name: xxxxxxxxxxxxxxxxx

Address: xxxxxxxxxxxxxxxxxx

Postal Code: xxxxxx

Grading of Medical Institutions: xxxxxx

Hospital Catagory: xxxx Hospital

Form of Ownership: xxxxxxxxxxxxx

Legal Representative: xxxxxxxxx

The Principal Person in Charge:xxxxxxxxxxxxxxxx

Medical subjects of diagnosis and treatment: Preventive Health Care, Internal Medicine, Obstetrics and Gynecology, Pediatrics, Ophtalmology, E.N.T., Stomatology, Dermatology, Medical Cosmetology, Hepatology, Emergency Medicine, Clinical Laboratory, Radiology, Traditional Chinese Medicine, Chinese and Western Integrative Medicine.

The Vadility Period: From dd/mm/yyyy to dd/mm/yyyy

Service Target: Public

Registered capital: RMB xxxxxxxx

After examining and verifying the application, the medical institution is approved to register and permitted to engage in medical practice activities.

Ministry of Health of the People's Republic of China

Issuing Authority: xxxxxxxxxxxxxxxx

Issuing Date: dd/mm/yyyy

Explanation

1. The original copy and and the duplicate copy of the Practice License of Medical Institution has been regulated under Administrative Regulations on Medical Institution published by Decree No. 149 of the State Council of the People's Republic of China.

2. The Practice License of Medical Institution has an original copy and a duplicate copy. Both of the two copies have the same legal forces.

3. The Practice License of Medical Institution and the duplicate copy shall not be fabricated, altered, leased, lent or transferred.

4. The original copy of Practice License of Medical Institution shall place in an prominent position in the address of institution’s legal person.

5. The institution’s legal representative shall apply for a variation to the original registration office in the case of changes to the original registered conditions.

6. The institution’s legal representative shall submit the original copy and duplicate copy of the practice license to the responding local health bureau for yearly check.

7. Where the registrant intends to continue to use the registered practice license beyond the expiration of the period of validity, an application for renewal of the registration, the original copy and the duplicate copy of the practice license shall be submit to the responding local health bureau.