| Name Of the Firm : | Birla Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst.No. 11409,Ward.No. 16,City Hospital Road,Berhampur |
| RP Name : | Miss S.Tarangini Patro, |
| Registration Number : | 15567 (OPC) |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Bapuji Ranjan Prusty |
| R : | GAI2508 |
| RC : | GAI2509 |
| RX : | GAI2510 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/11/2005 |
| Date of Expiry : | 4/11/2015 |
| Remarks : |