Name Of the Firm :	Sharma Medical Store (Retail)
Zone :	South Zone
Range :	Nuapada
Police Station :
Address :	Plot No- 1704, Holding No- 21/2, Word No- 10, At/po- Khariar Road
RP Name :	T Dillip Kumar Patro
Registration Number :	6873
Competent Person :
Qualification :	D.Pharma
Name of the Proprietor :	Ghana Shyam Sharma
R :	KA-1322R
RC :	KA-1323Rc
RX :
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :	Applied for grant of DLS due to change of constitution, w.e.f 01.01.2012, recommendation Lt. No- 549/ 26.07.2012