| Name Of the Firm : | Padmalaya Medical & General Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Khata No. 10, Survey No. 03/03, At: Guhalpur Tota, P.O.- Guhalpur |
| RP Name : | Sibani Kumar Panda |
| Registration Number : | 11731 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Prasana Kumar Rana |
| R : | SLGAI-471 |
| RC : | SLGAI-472 |
| RX : | SLGAI-242 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |