Name Of the Firm :	GUPTA MEDICAL STORE
Zone :	Western Zone, Sambalpur
Range :	Sambalpur
Police Station :
Address :	AT/PO- BURLA, SAMBALPUR
RP Name :	MOHANLAL JAJODIA
Registration Number :	4030
Competent Person :
Qualification :
Name of the Proprietor :	RAJ KISHOR JAJODIA MADHU JAJODIA
R :	549
RC :	550
RX :
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :	12/31/2012
Remarks :	ACR 2013-2017