| Name Of the Firm : | Samalai Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1582, Khata No.- 119/13, Parla, Kalahandi |
| RP Name : | Sri Sitesh Charan Mahapatro |
| Registration Number : | 3257 |
| Competent Person : | - |
| Qualification : | |
| Name of the Proprietor : | Sri kali Prasad Purohit |
| R : | 1591 |
| RC : | 1592 |
| RX : | |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 3/1/2013 |
| Date of Expiry : | 2/28/2018 |
| Remarks : | G.D.L due to change of connstitution |