| Name Of the Firm : | Gajapati Medical Store. |
| Zone : | S/Z |
| Range : | PKD |
| Police Station : | |
| Address : | At /Po-Mohana, 173/1606, k. no- 308/462 |
| RP Name : | Bhakti Binod Rath Regd no-18272/opc |
| Registration Number : | Regd no-18272/opc |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Sarat Ch.Sabat (Prop.) |
| R : | 4230 |
| RC : | 4231 |
| RX : | 4232 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/24/2008 |
| Date of Expiry : | 23.03.18 |
| Remarks : |