| Name Of the Firm : | Mamali and Guduly Medical Store |
| Zone : | CENTRAL |
| Range : | Khordha |
| Police Station : | |
| Address : | Plot No. 167/18, Kh. No. 572, At- Chiank Sahi, Po/Ps- Banpur, Dist- Khurda |
| RP Name : | Sri Ranjan Kumar Mahapatra |
| Registration Number : | 21215/OPC |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Sri Sridhar Pattanaik |
| R : | KH 26561 |
| RC : | KH 26562 |
| RX : | KH 10302 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/4/2011 |
| Date of Expiry : | 7/3/2016 |
| Remarks : |