| Name Of the Firm : | Goutam Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Patta No. 475, Survey No. 833, At/P.O.- Jamuni |
| RP Name : | Goutam Behera |
| Registration Number : | 22681 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Brundaban Behera |
| R : | SLGAII-1158 |
| RC : | SLGAII-1159 |
| RX : | SLGAII-1160 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
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