| Name Of the Firm : | Prabhakar Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 2116/3110, Khata No. 284/59, At: Sabulia, P.O. Burudi |
| RP Name : | Sonali Panda |
| Registration Number : | 25352 |
| Competent Person : | |
| Qualification : | B. Pharma |
| Name of the Proprietor : | Sucheta Pattnaik |
| R : | SLGAII-6629 |
| RC : | SLGAII-6630 |
| RX : | SLGAII-6631 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |