| Name Of the Firm : | Om Namha Sibaya Medicine Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot No. 2352/7653,Khata No. 1744/256,Gajapati Nagar 7th Lane,Berhampur |
| RP Name : | Sri Ashok Kumar Satapathy |
| Registration Number : | 9338 (OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Sri Bhabagrahi Srichandan Ray |
| R : | GAI6381 |
| RC : | GAI6382 |
| RX : | GAI6383 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2012.02.23 |
| Date of Expiry : | 2018.02.27 |
| Remarks : |