Name Of the Firm :	Bhagirathi Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Ward No. 03, Survey No. 2604, Khata No. 307, At/P.O.- Konkarada
RP Name :	Jogindra Pradhan
Registration Number :	4823
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	P. Jagannath Subudhi
R :	SLGAI-185
RC :	SLGAI-186
RX :	SLGAI-101
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :