| Name Of the Firm : | Goutam Aushadhalaya |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 75, Room No. 08, At: BDA Market Complex, Rambha, P.O.- Rambha |
| RP Name : | Ipsita Patro |
| Registration Number : | 8100 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Bhaskar Patro |
| R : | GA-2757 |
| RC : | GA-2758 |
| RX : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |