| Name Of the Firm : | Bhujangeswar Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 2313/3174, Khata No. 366/26, At: Dauni Chhaka, P.O.- Gouda Gaon |
| RP Name : | Santosh Kumar Sahu |
| Registration Number : | 5785 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Niladri Panigrahi |
| R : | SLGAI-2653 |
| RC : | SLGAI-2654 |
| RX : | SLGAI-2655 |
| RR : | |
| RRC : | |
| W : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |