Name Of the Firm :	Krupa Sindhu Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Plot No. 394, Khata No. 72, Survey No. 306, At/P.O.- Lathy
RP Name :	Manoj Kumar Behera
Registration Number :	9249
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Susama Panda
R :	SLGAI-387
RC :	SLGAI-388
RX :	SLGAI-200
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :