| Name Of the Firm : | Brundaban Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 383, Khata No.- 1/1, Mukhiguda, Kalahandi |
| RP Name : | Sri debasis raypitam |
| Registration Number : | 11629 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Amaya Kumar Sahoo |
| R : | 11 |
| RC : | 12 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 5/13/1997 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R |