| Name Of the Firm : | Sri Kamakshi Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst no-8911,Word no-13,S.N.T Road,Berhampur |
| RP Name : | Sri Manas Ranjan Prusty |
| Registration Number : | 5678 (OPC) |
| Competent Person : | |
| Qualification : | D. Pharm |
| Name of the Proprietor : | Sri S.Ramesh |
| R : | GAI4907 |
| RC : | GAI4908 |
| RX : | GAI4909 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2009.06.19 |
| Date of Expiry : | 2014.06.18 |
| Remarks : |