| Name Of the Firm : | Gouri Shankar Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Door No-03,Word no-24,Court Peta , Berhampur |
| RP Name : | Sri Subhasis Das |
| Registration Number : | 12655/OPC |
| Competent Person : | |
| Qualification : | D Pharm |
| Name of the Proprietor : | Sri Satyabadi Patra |
| R : | GAI3471 |
| RC : | GAI3472 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1982.09.05 |
| Date of Expiry : | 2016.12.31 |
| Remarks : |