| Name Of the Firm : | Sambhab Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Kusharab, Via: Mundamarai,Plot No.712/1918,Kh.No.241/96 |
| RP Name : | Sri Durga Prasanna Mishra |
| Registration Number : | 19988 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Siba Sankar Pattnayak |
| R : | 6215 |
| RC : | 6216 |
| RX : | 6217 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2011.10.17 |
| Date of Expiry : | 2016.10.16 |
| Remarks : |