| Name Of the Firm : | Dhabaleswara Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1222, Khata No.- 287, Deypur, Kalahandi |
| RP Name : | Sri Subrat Kumar Pradhan |
| Registration Number : | 16983 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Anirudha Padhan |
| R : | 2256 |
| RC : | 2257 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 8/31/2004 |
| Date of Expiry : | 8/30/2014 |
| Remarks : | C/R |