Name Of the Firm :	Sidheswar Medicine Store
Zone :	Central
Range :	Jajpur
Police Station :
Address :	At/P.O.- Bangara
RP Name :	Pravat Ranjan Routray
Registration Number :	8688
Competent Person :
Qualification :	D.Pharm
Name of the Proprietor :	Pravat Rahjan RoutRay
R :	15074
RC :	15075
RX :	4754
RR :
RRC :
W :
WC :
WX :
Date of Issue :	5/1/2000
Date of Expiry :	12/31/2016
Remarks :	C/R Recommended