| Name Of the Firm : | Sri Binayaka Medical Store |
| Zone : | S/Z |
| Range : | PKD |
| Police Station : | |
| Address : | At/po- Birikote, P.No- 808/906, K.no- 200/111 |
| RP Name : | Sri. Ashok Ku. Das, Regd No.- 14582/Opc |
| Registration Number : | Regd No.- 14582/Opc |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Sri. Prakash Ch. Pasupalak (Prop.) |
| R : | 6608 |
| RC : | 6609 |
| RX : | 6610 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/25/2012 |
| Date of Expiry : | 24.07.2017 |
| Remarks : |