| Name Of the Firm : | Om Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 2999, Khata No.- 02, At.- College Square, Bhawanipatna, Kalahandi |
| RP Name : | Swayam sampurna Mohanty |
| Registration Number : | 18000 |
| Competent Person : | - |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Swayam Sampurna Mohanty |
| R : | 3630 |
| RC : | 3631 |
| RX : | 3632 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 3/31/2007 |
| Date of Expiry : | 3/30/2017 |
| Remarks : | C/R |