| Name Of the Firm : | Kanha Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1704/2429, Khata No. 540/124, At/P.O.- Brahman Chhai |
| RP Name : | Manas Kumar Nayak |
| Registration Number : | 16142 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Ashok Kumar Prusty |
| R : | SLGAII-3516 |
| RC : | SLGAII-3517 |
| RX : | SLGAII-3518 |
| RR : | |
| RRC : | |
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| WC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |