Name Of the Firm :	Jagannath Medicine Store
Zone :	CENTRAL
Range :	CUTTACK-II
Police Station :
Address :	At. Plot No. 1366, KhAta No. 364, Sauri, Mahasinghpur, Ctc.
RP Name :	Sibananda Swain,
Registration Number :	14191/OPC
Competent Person :
Qualification :	D.PHARMA
Name of the Proprietor :	Rabindra Chandra Routray
R :	19334
RC :	19335
RX :	6730
RR :
RRC :
W :
WC :
WX :
Date of Issue :	11/6/2003
Date of Expiry :	11/5/2013
Remarks :	CR Applied for