| Name Of the Firm : | Hemalata Medicine Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot No. 2406/7908,Khata No. 1530/3386,Bhabinipur Main Road, Bam |
| RP Name : | Sri Mukti Ram Panigrahy, |
| Registration Number : | 19153(OPC) |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Mukti Ram Panigrahy |
| R : | GAI5529 |
| RC : | GAI5530 |
| RX : | GAI5531 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 10/12/2010 |
| Date of Expiry : | 10/11/2015 |
| Remarks : |