| Name Of the Firm : | New Subham Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot no-2288,Khata no-1718/11Rajarani Complex,Courtpeta Square, Berhampur |
| RP Name : | Smt.Kiran Prabha Sahu, |
| Registration Number : | 21161 (OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Smt.Sunita Kumar Dash |
| R : | GAI5102 |
| RC : | GAI5103 |
| RX : | GAI5104 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2010.01.19 |
| Date of Expiry : | 2015.01.18 |
| Remarks : |