Name Of the Firm :	Laxmi Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Door No. 241, Ward no. 04, At/P.O.- Balipada
RP Name :	Gangatri Behera
Registration Number :	25948
Competent Person :
Qualification :	B. Pharma
Name of the Proprietor :	Nrusingha Charan Behera
R :	SLGAI-41
RC :	SLGAI-42
RX :	SLGAI-22
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :