| Name Of the Firm : | Shree Guru Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst.No. 15092/A,Ward.No.24, Courtpeta,Berhampur |
| RP Name : | Sri Ashis Kumar Mohapatra, |
| Registration Number : | 10938(OPC) |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Sisir Kumar Rout |
| R : | GAI377 |
| RC : | GAI378 |
| RX : | GAI196 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/4/1997 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |