Name Of the Firm :	Sri Mandir Medical Hall
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Plot No. 3158/6544, Khata No. 796/234, Ward No. 10, Holding No. 136(B), At/P.O.- Polasara
RP Name :	P. Santosh Kumar Prusty
Registration Number :	6548
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	P. Santosh Kumar Prusty
R :	SLGAII-6339
RC :	SLGAII-6340
RX :	SLGAII-6341
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :