Name Of the Firm :	Om Shree Medical Store
Zone :	Southern Zone
Range :	Ganjam I
Police Station :
Address :	Plot no-510,Khata no-377,Main Road,Ambapua, Berhampur.
RP Name :	Sri Sudip Kumar Behera
Registration Number :	24196 (OPC)
Competent Person :
Qualification :	D Pharam
Name of the Proprietor :	Sri Amar Kumar Patra
R :	GAI2549
RC :	GAI2550
RX :	GAI2551
RR :
RRC :
W :
WC :
WX :
Date of Issue :	1989.01.19
Date of Expiry :	2007.12.31
Remarks :	Forwarded to DDC(S/Z), vide this Office letter No-134 dated:-03.01.2013