Name Of the Firm :	Ambica Medical & General Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Plot No. 429, Khata No. 60, At/P.O.- Kukudakhandi
RP Name :	Adal Basanti Kumari
Registration Number :	12870
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	P. Sorojini
R :	SLGAI-167
RC :	SLGAI-168
RX :	SLGAI-90
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :