| Name Of the Firm : | Trinath Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 4588/14636, Khata No. 1520/460, Ward No. 03, Holding No. 576, At/P.O.- Kodala |
| RP Name : | Simanchala Mahapatra |
| Registration Number : | 11713 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Trinath Mahapatra |
| R : | GA-8980 |
| RC : | GA-8981 |
| RX : | GA-1734 |
| RR : | |
| RRC : | |
| W : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |