Name Of the Firm :	Tulasi Medical Store
Zone :	Southern Zone
Range :	Ganjam II Range
Police Station :
Address :	Plot No. 205, Khata No. 760, At/P.O.- Erendra
RP Name :	Taruna Kumar Dakua
Registration Number :	6955
Competent Person :
Qualification :	D. Pharma
Name of the Proprietor :	Bhagawan Jena
R :	SLGAI-3962
RC :	SLGAI-3963
RX :	SLGAI-3964
RR :
RRC :
W :
WC :
WX :
Date of Issue :
Date of Expiry :
Remarks :