Name Of the Firm :	Das Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Plot No. 1765/3945, Khata No. 1037, At/P.O.- Borigam
RP Name :	Manaswini Nanda
Registration Number :	21979
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	K. Siba Ram Das
R :	SLGAI-3941
RC :	SLGAI-3942
RX :	SLGAI-3943
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :