| Name Of the Firm : | Diti Krushna Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 2423, Patta No. 307, At/P.O.- Konkarada |
| RP Name : | Pravakar Panigrahi |
| Registration Number : | 10431 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Pravakar Panigrahi |
| R : | SLGAI-1023 |
| RC : | SLGAI-1024 |
| RX : | SLGAI-1025 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |