Name Of the Firm :	Diti Krushna Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Plot No. 2423, Patta No. 307, At/P.O.- Konkarada
RP Name :	Pravakar Panigrahi
Registration Number :	10431
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Pravakar Panigrahi
R :	SLGAI-1023
RC :	SLGAI-1024
RX :	SLGAI-1025
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :