Name Of the Firm :	Life Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Survey No. 123, Khata No. 146, Ward No. 02, Door No. 01, At/P.O.- Jarada
RP Name :	Partha Sarathi Nayak
Registration Number :	6134
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Partha Sarathi Nayak
R :	SLGAI-93
RC :	SLGAI-94
RX :	SLGAI-51
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :