| Name Of the Firm : | Kalyanee Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Survey No. 352, Khata No. 135, At: Sundarpur, P.O.- Patiguda |
| RP Name : | Bhabani Sankar Sahu |
| Registration Number : | 19553 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | T. Srinivas Patro |
| R : | SLGAI-4473 |
| RC : | SLGAI-4474 |
| RX : | SLGAI-4475 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |