| Name Of the Firm : | Debasis Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst.No. 11806,Ward.No. 15,Tulasi Nagar,Berhampur |
| RP Name : | Smt.Madhusmita Sahu |
| Registration Number : | 18924(OPC) |
| Competent Person : | |
| Qualification : | D. Pharm |
| Name of the Proprietor : | Krishnajali Padhy |
| R : | GAI1672 |
| RC : | GAI1673 |
| RX : | GAI1674 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/25/2003 |
| Date of Expiry : | 6/24/2018 |
| Remarks : |