This document discusses medicines registration and licensing of pharmaceutical establishments according to Nepal's Drugs Registration Rules, 2038. It outlines the legal framework and institutional setup, including requirements to obtain recommendation letters from the Drug Development Agency to establish a drug industry or for export/import, as well as licenses needed for manufacturing and marketing drugs. It notes some areas for improvement, such as clarifying procedures, setting time limits, separating registration by drug type, reducing duplicate registration efforts, and simplifying the registration process through online facilities.