| Name Of the Firm : | Gouri Shankar Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 2125, Khata No.- 29, At.- Mahavir Pada, Po.- Bhawanipatna, Kalahandi |
| RP Name : | Sudhir Kumar Mahapatra |
| Registration Number : | 6560 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Ganesh Chandra Agrawal |
| R : | 153 |
| RC : | 154 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 2008.07.26 |
| Date of Expiry : | 7/24/2018 |
| Remarks : | Applied for G.D.L due to change of Propritor |