Name Of the Firm :	VILLAGE MEDICAL STORE
Zone :	Western Zone, Sambalpur
Range :	Sambalpur
Police Station :
Address :	AT/PO-GARPOSE, DIST-SAMBALPUR
RP Name :	SWAGATIKA MOHANTY
Registration Number :	23932
Competent Person :
Qualification :
Name of the Proprietor :	SANJAY KU KESARWANI
R :	314
RC :	315
RX :
RR :
RRC :
W :
WC :
WX :
Date of Issue :	6/28/2000
Date of Expiry :	12/31/2006
Remarks :	ACR 2007-2011, 2012-2016