| Name Of the Firm : | Bharat Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Khata No. 254, Patta No. 192, Survey No. 643, At: Sargibania Phada Street, P.O.- Chhanameri |
| RP Name : | Tapas Biswal |
| Registration Number : | 16965 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Pitobas Routa |
| R : | SLGAII-6396 |
| RC : | SLGAII-6397 |
| RX : | SLGAII-6398 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |