Name Of the Firm :	Maa Dakhina kali Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Plot No. 530/1413, Khata No. 164, At/P.O.- Bhamarpur
RP Name :	Bhagawan Sahu
Registration Number :	18760
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Rajib Lochan Rath
R :	SLGAII-5150
RC :	SLGAII-5151
RX :	SLGAII-5152
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :