| Name Of the Firm : | Banadevi Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 831, Ward No. 13, Holding No. 535, Survey No. 595, At/P.O.- Kabisuryanagar |
| RP Name : | Subrat Kumar Mahapatra |
| Registration Number : | 13536 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Paresh Chand Panda |
| R : | GA-5579 |
| RC : | GA-5580 |
| RX : | GA-274 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |