| Name Of the Firm : | Patra Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.Kumasaragarh Via.Jagannth Prasad,Plot No.3966,Kh.No.405 |
| RP Name : | Rabinarayan Nayak |
| Registration Number : | 17218 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Bhaskar Patra |
| R : | 7498 |
| RC : | 7499 |
| RX : | 7500 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2014.01.28 |
| Date of Expiry : | 2019.01.27 |
| Remarks : |