| Name Of the Firm : | Tara Tarini Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1438/1602, Khata No. 303/203, At: Taratarni Chhaka, P.O.- Ranjhalli |
| RP Name : | Prasant Kumar Samal |
| Registration Number : | 7713 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Prasant Kumar Samal |
| R : | SLGAII-4758 |
| RC : | SLGAII-4759 |
| RX : | SLGAII-4760 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |