Name Of the Firm :	Biraja Medicine Store,
Zone :	CENTRAL ZONE
Range :	CTC-III
Police Station :
Address :	Kathagola, Plot no-92,W.no-27,H.no-652/A/1,Mangalabag, Cuttack
RP Name :	Sanjay Ku. Dalai,
Registration Number :	14606
Competent Person :
Qualification :
Name of the Proprietor :	Meghanad Rout
R :	CU21057/R,,
RC :	CU21058/RC
RX :	CU7592/RX
RR :
RRC :
W :
WC :
WX :
Date of Issue :	6/25/2005
Date of Expiry :	6/24/2010
Remarks :	deemed to be valid upto 24.06.2015