Name Of the Firm :	Vikash Medical Store
Zone :	South Zone
Range :	Nuapada
Police Station :
Address :	Plot No- 1104, Khata No- 487, At/po- Sarabong
RP Name :	Jagananth Mallick
Registration Number :	14968
Competent Person :
Qualification :	D.Pharma
Name of the Proprietor :	Uma Shankar Dandasena
R :	SL-NU-1690R
RC :	SL-NU-1691Rc
RX :
RR :
RRC :
W :
WC :
WX :
Date of Issue :	7/10/2003
Date of Expiry :	7/9/2008
Remarks :	Applied for Renewal, recommendation Lt No- 1060/ 03.10.2008