| Name Of the Firm : | Amit Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot No. 1047/1803,Khata No. 257/144,Near Gatebazar,Berhampur |
| RP Name : | Tapana Kumar Panigrahy |
| Registration Number : | 22066(OPC) |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Smt.Sarada Behera |
| R : | GAI 6435 |
| RC : | GAI 6436 |
| RX : | GAI 6437 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 3/20/2012 |
| Date of Expiry : | 3/19/2017 |
| Remarks : |