| Name Of the Firm : | Gouri Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1016, Khata No.- 83, Banner, Kalahandi |
| RP Name : | Sri Satya Sundar pattnaik |
| Registration Number : | 11046 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Satya Sundar Pattnaik |
| R : | 4955 |
| RC : | 4956 |
| RX : | 4957 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 7/30/2009 |
| Date of Expiry : | 7/29/2014 |
| Remarks : | G.D.L |