Name Of the Firm :	Sambasiva Medical Store
Zone :	Southern Zone
Range :	Ganjam I
Police Station :
Address :	Word no-16,City Hospital Campus, Berhampur
RP Name :	Sri Akhoya Kumar Routo Sri Sisir Kumar Patro& Sri Chinam Sivaji Patra
Registration Number :	5833 (OPC)5840(OPC) &5982(OPC)
Competent Person :
Qualification :	D.Pharm. D.Pharm, B.Pharm
Name of the Proprietor :	Smt.P.Anasuya
R :	GAI153
RC :	GAI154
RX :	GAI83
RR :
RRC :
W :
WC :
WX :
Date of Issue :	1995.02.18
Date of Expiry :	12/31/2012
Remarks :	c/r Application ddc sz letterno- Date-