| Name Of the Firm : | Maa Khambeswari Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst no-13502,word no-18,B.D.A Market Complex,New Bus Stand Road,Berhamur. |
| RP Name : | Sri Pranaba Kuamr Nayak |
| Registration Number : | 20146(OPC) |
| Competent Person : | |
| Qualification : | B. Pharm |
| Name of the Proprietor : | Sri Siba Prasad Gouda |
| R : | GAI3696 |
| RC : | GAI3697 |
| RX : | GAI3698 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2007.06.01 |
| Date of Expiry : | 2017.05.31 |
| Remarks : |