Name Of the Firm :	Sanjibanee Medical Store
Zone :	South Zone
Range :	Nuapada
Police Station :
Address :	Plot No- 512/2569, Khata No- 338/40, At- Udyanbandha, Po- Kureswar
RP Name :	Manas Ranjan Nayak
Registration Number :	10974
Competent Person :
Qualification :	D.Pharma
Name of the Proprietor :	Dr. Keshab Chandra Bhoi
R :	SL-NU-1458R
RC :	SL-NU-1459Rc
RX :
RR :
RRC :
W :
WC :
WX :
Date of Issue :	1/21/2003
Date of Expiry :	1/20/2008
Remarks :	Applied for Renewal, recommendation Lt. No- 383/ 26.03.2013