| Name Of the Firm : | Life Line Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 391, Khata No.-11, At.- D.H.H Campus, Bhawanipatna, Kalahandi |
| RP Name : | Sri Shakti Dhar Maharana & Sudipta Kumar Behera |
| Registration Number : | (1)17288 (2)18518 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Shanti Padhi |
| R : | 43 |
| RC : | 44 |
| RX : | 1 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 6/11/1994 |
| Date of Expiry : | 12/31/2016 |
| Remarks : | C/R |