Name Of the Firm :	Maa Mangala Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Survey No. 490/1, At: Khandianai, P.O.- Beguniapada
RP Name :	Tukuna Sahu
Registration Number :	9123
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Tukuna Sahu
R :	SLGAII-711
RC :	SLGAII-712
RX :	SLGAII-352
RR :
RRC :
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WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :