| Name Of the Firm : | Gopabandhu Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 2221, Khata No- 37, At/po- Tukula |
| RP Name : | Probodh Kumar Meher |
| Registration Number : | 18294 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Manoranjan Barik |
| R : | SL-NU-4431R |
| RC : | SL-NU-4432Rc |
| RX : | SL-NU-4433Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/2/2008 |
| Date of Expiry : | 9/1/2013 |
| Remarks : |