| Name Of the Firm : | Kumudini Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.B.D Pur,Via.Bargaon, |
| RP Name : | Sibaram Sahu |
| Registration Number : | 12253opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sibaram Sahu |
| R : | 1812 |
| RC : | 1813 |
| RX : | 1814 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2003.10.24 |
| Date of Expiry : | 2013.10.23 |
| Remarks : | change of Premises w.e.f 27.01.2011 on letter no 185 dt.01.03.2011 |