Name Of the Firm :	Sri Ram Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	NAC Room No. 04, At/P.O.- Purushottampur
RP Name :	Basudev Panda
Registration Number :	2119
Competent Person :
Qualification :
Name of the Proprietor :	Ramakanta Das, Rudra Kanta Panigrahi
R :	SLGAII-595
RC :	SLGAII-596
RX :	SLGAII-296
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :