| Name Of the Firm : | Bhawani Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Patta No. 59, Survey no. 28/20, At/P.O.- Korapalli |
| RP Name : | Sumanta Kumar Sabat |
| Registration Number : | 24876 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Pradip Kumar Panda |
| R : | SLGAI-625 |
| RC : | SLGAI-626 |
| RX : | SLGAI-318 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
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