| Name Of the Firm : | Medico Medical Store, |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot no -246/646,Khata no-389,Ankuli,ganjam |
| RP Name : | Sri T. Susil Kumar Patra |
| Registration Number : | 17328 (OPC) |
| Competent Person : | |
| Qualification : | D Pharm |
| Name of the Proprietor : | Sri P. Rejendra Patra |
| R : | GAI505 |
| RC : | GAI506 |
| RX : | GAI258 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1999.06.09 |
| Date of Expiry : | 2017.12.31 |
| Remarks : |