Name Of the Firm :	Mohan Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Plot No. 2495/9760, Khata No. 1119/2568, At/P.O.- Digapahandi
RP Name :	Purshottam Jena
Registration Number :	6576
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Bhagawan Sahu
R :	GA-7480
RC :	GA-7481
RX :	GA-37
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :