| Name Of the Firm : | Hara Gouri Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot no-244/5141,Khata no-243/2545,Hardakhandi,Berhampur |
| RP Name : | Sri Banavasi das |
| Registration Number : | 22644(OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Sri Pintu Kumar sahu |
| R : | GAI7063 |
| RC : | GAI7064 |
| RX : | GAI7065 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2013.05.10 |
| Date of Expiry : | 2018.05.09 |
| Remarks : |