Name Of the Firm :	Om Sri Jagannath Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	UGPHC, Campus, At/P.O.- Polasara
RP Name :	Durga Prasad Panigrahi & Susant Kumar Sahu
Registration Number :	.3326 & 21254
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Durga Prasad Panigrahi
R :	SLGAII-319
RC :	SLGAII-320
RX :	SLGAII-161
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :