| Name Of the Firm : | Modern Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.150, Khata No.-99/212, Dharamgarh, Kalahanadi |
| RP Name : | Shradanjali Sahoo |
| Registration Number : | 19701 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Jiban Jyoti Panda |
| R : | 4428 |
| RC : | 4429 |
| RX : | 4430 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 2/25/2011 |
| Date of Expiry : | 2/24/2016 |
| Remarks : | G.D.L due to change of Place |