Name Of the Firm :	Sudhanshu Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Patta No. 508, Survey No. 3165, Ward No. 03, Asst. No. 364/B, At/P.O.- Polasara
RP Name :	Goutam Nahak
Registration Number :	22327
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Pradeep Kumar Bisoyi
R :	SLGAII-245
RC :	SLGAII-246
RX :	SLGAII-124
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :