| Name Of the Firm : | Hariom Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.-1636, Khata No.- 108, Muding, Kalahandi |
| RP Name : | Sri Sudhansu Sekhar Sahu |
| Registration Number : | 20583 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | sri Manabodh Sahu |
| R : | 5081 |
| RC : | 5082 |
| RX : | 5083 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 11/23/2009 |
| Date of Expiry : | 11/22/2014 |
| Remarks : | G.D.L |