| Name Of the Firm : | Shree Laxmi Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | Nua Sahi, Dharakote,Plot No.1120,Kh.No.595 |
| RP Name : | P.Arakhita Patra |
| Registration Number : | 2760 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Ch.Siba Sankar Patra |
| R : | 6495 |
| RC : | 6496 |
| RX : | 6497 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2012.04.18 |
| Date of Expiry : | 2017.04.17 |
| Remarks : |