Name Of the Firm :	Basanti Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Ward No. 06, Stall No. 26, At/P.O.- Hinjilicut
RP Name :	Narasingha Prusti
Registration Number :	1761
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Prakash Chandra Swain
R :	SLGAII-81
RC :	SLGAII-82
RX :	SLGAII-42
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :