| Name Of the Firm : | Chandan Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst.No. 16939,Ward.No. 26,Gajapati Nagar 5th lane, Berhampur |
| RP Name : | Sri Akshaya Kumar Behera |
| Registration Number : | 18070 (OPC) |
| Competent Person : | |
| Qualification : | D. Pharm |
| Name of the Proprietor : | Kuni Sahu & Gajendra Kumar Dalai,Partners |
| R : | GAI 3579 |
| RC : | GAI 3580 |
| RX : | GAI 3581 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/9/2007 |
| Date of Expiry : | 2/8/2017 |
| Remarks : |