Name Of the Firm :	GHANTESWARI MEDICAL STORE
Zone :	Western Zone, Sambalpur
Range :	Sambalpur
Police Station :
Address :	AT-CHARPALI, PO- CHIPILIMA, DIST- SAMBALPUR
RP Name :	LALATENDU SAHU
Registration Number :	23550
Competent Person :
Qualification :
Name of the Proprietor :	NIRAKAR DIXIT
R :	1021
RC :	1022
RX :	1023
RR :
RRC :
W :
WC :
WX :
Date of Issue :	1/10/2001
Date of Expiry :	12/31/2007
Remarks :	ACR 2013-2017