Name Of the Firm :	Shukla Medical Store
Zone :	South Zone
Range :	Nuapada
Police Station :
Address :	Plot No- 1506, Ward No- 06, At/po- Khariar
RP Name :	Dinesh Kumar Shukla
Registration Number :	2776
Competent Person :
Qualification :	D.Pharma
Name of the Proprietor :	Dinesh Kumar Shukla
R :	KA-4732R
RC :	KA-4733Rc
RX :
RR :
RRC :
W :
WC :
WX :
Date of Issue :	8/29/1982
Date of Expiry :	12/31/1995
Remarks :	Applied for Renewal, recommendation Lt. No- 287/ 11.04.2012