| Name Of the Firm : | Prakash Medical Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | Stall No-A/3, Kudiary Bazar, Jatni |
| RP Name : | Prasanna Ku Kar |
| Registration Number : | 6805/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Prakash Ku Rout |
| R : | 11072 |
| RC : | 11073 |
| RX : | 2756 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/24/1994 |
| Date of Expiry : | Applied for C/R 01-01-12 to 31-12-16 |
| Remarks : | Sent to Directorate for C/R / L.No. 1035 dt. 14.09.12 |