| Name Of the Firm : | Balaji Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.Manikyapur Via.Badagada,Plot No.1417/6562, Kh.No.627/17 |
| RP Name : | A.Biswajit Sarab |
| Registration Number : | 7815 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | A.Biswajit Sarab |
| R : | 107 |
| RC : | 108 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1994.02.09 |
| Date of Expiry : | 2016.06.09 |
| Remarks : |