| Name Of the Firm : | Padmalaya Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 990, Khata No- 19, At/po- Kendumunda, Via- Sinapali |
| RP Name : | Kuldeep Podh |
| Registration Number : | 20686 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Kuldeep Podh |
| R : | SL-NU-6035R |
| RC : | SL-NU-6036Rc |
| RX : | SL-NU-6037Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/12/2011 |
| Date of Expiry : | 7/11/2016 |
| Remarks : |