| Name Of the Firm : | Utkal Medicine Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst.No.13355,Ward.No. 18,Ananda Sarani Road, Berhampur |
| RP Name : | Sri Siba Sakti Pradhan |
| Registration Number : | 25718(OPC) |
| Competent Person : | |
| Qualification : | D. Pharm |
| Name of the Proprietor : | Sri Rajeswari Mahapatra |
| R : | GAI307 |
| RC : | GAI308 |
| RX : | GAI167 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/28/1997 |
| Date of Expiry : | 12/31/1998 |
| Remarks : | Forwaerded to ddc sz vide this office letter no-756 dt,. 30.6.05 & 141 dt. 25.1.2008 |