Name Of the Firm :	Life Medical Store
Zone :	Southern Zone
Range :	Ganjam I
Police Station :
Address :	Asst no-12016,Word no-17,Lochapada Road,Gate Bazar,Berhampur,
RP Name :	Sri Kiran Kumar Padhy,
Registration Number :	9658 (OPC)
Competent Person :
Qualification :	D Pharma
Name of the Proprietor :	Sri Kiran Kumar Padhy
R :	GAI615
RC :	GAI616
RX :	GAI313
RR :
RRC :
W :
WC :
WX :
Date of Issue :	2001.01.25
Date of Expiry :	2002.12.31
Remarks :	Forwaerded to ddc sz vide this office letter no-2096,Date :07.07.2012