Name Of the Firm :	Blood bank, Evangelical Hospital
Zone :	South Zone
Range :	Nuapada
Police Station :
Address :	At- Khariar, Po- Khariar
RP Name :
Registration Number :
Competent Person :
Qualification :
Name of the Proprietor :	Dr. Ajit Ronald Gurubachan Singh (MS,FICS, FACS, FICS, FCAMS) & Dr. Stephen Amarjeet Jiwanmall (MD, Neuro Psy)
R :	732
RC :
RX :
RR :
RRC :
W :
WC :
WX :
Date of Issue :	9/27/2002
Date of Expiry :	3/15/2010
Remarks :	Applied for Renewal