Name Of the Firm :	Chikiti Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Holding No. 1123/A, Ward No. 06, At/P.O.- Chikiti Pentho
RP Name :	T. Srinivas Subudhi
Registration Number :	9095
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	T. Srinivas Subudhi
R :	SLGAI-499
RC :	SLGAI-500
RX :	SLGAI-256
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :