| Name Of the Firm : | Baidyanath Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot No. 470,Khata No. 245,Asst.No. 14041,Ward.No. 19,SBI Road,Berhampur |
| RP Name : | Sri S.Umakanta Prusty |
| Registration Number : | 1917(OPC) |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Smt.Lili Panigrahy |
| R : | GAI 5670 |
| RC : | GAI 5671 |
| RX : | GAI 5672 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/24/2010 |
| Date of Expiry : | 12/23/2015 |
| Remarks : |