| Name Of the Firm : | Balaji Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 83/2/674, Khata No.- 91/269, At.- Pardeshi pada, Po.-Bhawanipatna, Kalahandi |
| RP Name : | Sri Sumit Kumar Mund |
| Registration Number : | 23920 |
| Competent Person : | - |
| Qualification : | B.Pharm |
| Name of the Proprietor : | sri Sraban Kumar Agrawal |
| R : | 6363 |
| RC : | 6364 |
| RX : | 6365 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 2/22/2012 |
| Date of Expiry : | 2/21/2017 |
| Remarks : | G.D.L |