Name Of the Firm :	Kapileswar Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Pushtak No. 319, Bhaga No. 126, At/P.O.- Durbandha
RP Name :	K. Dharmapada
Registration Number :	4458
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	P. Purushottam
R :	SLGAII-693
RC :	SLGAII-694
RX :	SLGAII-343
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :