Name Of the Firm :	Kapileswar Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Khata No. 148, Plot No. 513, At: Sundarpur, P.O.- Patiguda
RP Name :	Siba Prasad Mandal
Registration Number :	21998
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Kanhu Charan Pradhan
R :
RC :
RX :
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :