| Name Of the Firm : | Omm Prabhu Kalyan Medicine Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | plot no. 485/1989 Aiginia, |
| RP Name : | Satyajit Samal |
| Registration Number : | 13591/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Miss Monalisa Nayak |
| R : | 28162 |
| RC : | 28163 |
| RX : | 11093 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/17/2013 |
| Date of Expiry : | 4/16/2018 |
| Remarks : |