| Name Of the Firm : | Banamali Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Ward No. 15, Holding No. 274, At: Baincha Bania, P.O.- Hinjilicut |
| RP Name : | T. Tapan Kumar |
| Registration Number : | 16034 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Kishore Chandra Sahu |
| R : | SLGAII-2411 |
| RC : | SLGAII-2412 |
| RX : | SLGAII-2413 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |