Name Of the Firm :	Sri Sundareswar Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Survey No. 8434, Khata No. 1470, Door No. 130, Ward No. 04, At/P.O.- Sundarpur
RP Name :	Surendra Kumar Nepak
Registration Number :	5960
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Prashan Kumar Panda
R :	SLGAII-71
RC :	SLGAII-72
RX :	SLGAII-37
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :