Name Of the Firm :	Siva Shakti Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Plot No. 60, Khata No. 174, At: Jagati, P.O.- Beguniapada
RP Name :	Sanjeet Kumar Hota
Registration Number :	6750
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Ramesh Chandra Sethy
R :	SLGAII-123
RC :	SLGAII-124
RX :	SLGAII-63
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :