| Name Of the Firm : | Monalisa Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst no-7554,7555,Holding no-53,Word no-11,Utkal Cinema Road,Berhampur |
| RP Name : | Sri Santosh Kumar Panda, |
| Registration Number : | 5196 (OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Sri Santosh kumar Panda |
| R : | GAI523 |
| RC : | GAI524 |
| RX : | GAI267 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1999.10.06 |
| Date of Expiry : | 2017.12.31 |
| Remarks : |