Name Of the Firm :	Purusottam Medical Store
Zone :	Southern Zone
Range :	Ganjam I
Police Station :
Address :	Asst.No. 13420,Ward.no.18,New Bus Stand Road,Berhampur
RP Name :	Sri Prasan kumar Purohita
Registration Number :	7585(OPC)
Competent Person :
Qualification :	D.Pharma
Name of the Proprietor :	Sri R.Ramesh Chandra Rao
R :	GAI1012
RC :	GAI1013
RX :	GAI1014
RR :
RRC :
W :
WC :
WX :
Date of Issue :	2/2/2002
Date of Expiry :	2/1/2012
Remarks :	C/r application ddc sz letter no-323 Date-3.3.212