| Name Of the Firm : | Maa Bankeswari Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst no-6461,Word no-9Plot no-1701,Old Berhampur (Mentu Chhak), Berhampur |
| RP Name : | Sri Deepak Kumar Behera |
| Registration Number : | 24126 (OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Sri Trilochan Sahu |
| R : | GAI-7028 |
| RC : | GAI-7029 |
| RX : | GAI-7030 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2013.04.11 |
| Date of Expiry : | 2018.04.10 |
| Remarks : |