| Name Of the Firm : | Gayatri Medical Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po : Jashipur, Dist : Bhadrak Plot No.168/1486, Khata No.222/64 |
| RP Name : | Sri Prahallad Das |
| Registration Number : | 6760(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Prahallad Das |
| R : | BH-18748/R |
| RC : | BH-18749/RC |
| RX : | BH-6097/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 5/1/2003 |
| Date of Expiry : | 4/30/2018 |
| Remarks : | C/R Not Issued |