Name Of the Firm :	Sri Nivas Medical & General Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Ward No. 04, Holding No. 256, At/P.O.- Bhismagiri
RP Name :	Dayanidhi Padhi
Registration Number :	2787
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	T. Srinivas Rao
R :	SLGAI-379
RC :	SLGAI-380
RX :	SLGAI-197
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :