| Name Of the Firm : | Ganesh Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 26, Ward No. 08, At/P.O.- Nuapentho |
| RP Name : | Kalicharan Rana |
| Registration Number : | 5199 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Ramakrishna Maharana |
| R : | SLGAI-03 |
| RC : | SLGAI-04 |
| RX : | SLGAI-02 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |