| Name Of the Firm : | Balaji Medical and General Store, |
| Zone : | SOUTH |
| Range : | GAJAPATI |
| Police Station : | |
| Address : | At/Po- Gajapati Marg, Pkd,Gajapati,P no-70,K.No-193. |
| RP Name : | Bibhu Prasad Pathy. 6989/OPC. |
| Registration Number : | 6989 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Smt.B.V.Nara Samma (Prop.) |
| R : | 1 |
| RC : | 2 |
| RX : | 1 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/18/1905 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |