| Name Of the Firm : | Gayatree Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1060/1096 Khata No.437/203 AT-Balikuda(Balisahi) PO-PS-Balikuda DIST-Jagatsinghpur. |
| RP Name : | Debasis Biswal |
| Registration Number : | 12497 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Deepak Prasad Sahoo |
| R : | 16042 |
| RC : | 16043 |
| RX : | 5238 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/6/2001 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |