| Name Of the Firm : | Gouri Medical Store, |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.:Kalamba Chhaka, Ballipadar,Plot No.1054/2,Kh.No.777/1 |
| RP Name : | Sanjaya Ku Das |
| Registration Number : | 15404 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Basanta Kumar Gouda |
| R : | 2178 |
| RC : | 2179 |
| RX : | 2180 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2004.07.14 |
| Date of Expiry : | 2009.07.13 |
| Remarks : | Under Renewal,Recommedati on letter no 615dt 24.07.2009 |