Name Of the Firm :	Neelamani Medical Store
Zone :	S/Z
Range :	PKD
Police Station :
Address :	At/Po- Dhoba Jaypur, Plot No. 849/1109, Kh No. 173/202
RP Name :	Sri Prabhat Kumar Jena
Registration Number :	Sri Prabhat Kumar Jena, Regd. No. 21187
Competent Person :
Qualification :
Name of the Proprietor :	Miss. Kadagala Sandhya
R :	7714
RC :	7715
RX :	7716
RR :
RRC :
W :
WC :
WX :
Date of Issue :	6/10/2014
Date of Expiry :	6/9/2019
Remarks :