Name Of the Firm :	Sandheswar Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Plot No. 89, Survey No. 02/10, Ward No. 03, At/P.O.- Khariaguda
RP Name :	Doki Kotesh
Registration Number :	3664
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Doki Bhagyam
R :	GA-6102
RC :	GA-6103
RX :	GA-565
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :