| Name Of the Firm : | Parvati Medical & General Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Patta No. 513, Survey No. 450, At/P.O.- Kodala |
| RP Name : | Jagannath Majhi |
| Registration Number : | 22553 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Ashok Kumar Mahapatra |
| R : | SLGAII-509 |
| RC : | SLGAII-510 |
| RX : | SLGAII-254 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |