Name Of the Firm :	Raja Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Holding No. 643 A, Sector-03, At/P.O.- Polasara
RP Name :	K. Nagaraj Prusty
Registration Number :	7995
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	K. Nagaraj Prusty
R :	SLGAII-459
RC :	SLGAII-450
RX :	SLGAII-229
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :