| Name Of the Firm : | Gayatri Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 323, Khata No.- 34/20, At/Po.- Dhanpur, Kalahandi |
| RP Name : | Sri Manas Ranjan Mund |
| Registration Number : | 23105 |
| Competent Person : | |
| Qualification : | B.Pharm |
| Name of the Proprietor : | Sri Kiran Kumar Behera |
| R : | 2519 |
| RC : | 2520 |
| RX : | |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 4/11/2005 |
| Date of Expiry : | 4/10/2015 |
| Remarks : | C/R |