| Name Of the Firm : | OM Sai Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Bellaguntha,Plot No.3427/5757, Kh.No.1780/28 |
| RP Name : | Ch. Balakrushna Patra |
| Registration Number : | 13674 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Ch. Balakrushna Patra |
| R : | 4997 |
| RC : | 4998 |
| RX : | 4999 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2013.07.27 |
| Date of Expiry : | 2018.07.26 |
| Remarks : |