| Name Of the Firm : | Kailash Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 4, Khata No.- 99/123, Dharamgarh, Kalahandi |
| RP Name : | Ashish Kumar Pattush |
| Registration Number : | 7338 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Ashish Kumar Pattush |
| R : | 85 |
| RC : | 86 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 2/9/1996 |
| Date of Expiry : | 12/31/2016 |
| Remarks : | Applied for C/R |