| Name Of the Firm : | Prabhas Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Holding no-130,Asast no-8831,Word no-13,Ground Floor,Hanubazar,Berhampur |
| RP Name : | Sri Bibhu Prasad Pati |
| Registration Number : | 11333(OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Sri Santosh Chandra Patra |
| R : | GAI4198 |
| RC : | GAI4198 |
| RX : | GAI4199 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/23/1987 |
| Date of Expiry : | 2017.11.30 |
| Remarks : |