| Name Of the Firm : | Prabha Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst No. 17001,ward.No. 26,Engg.School Road,Berhampur |
| RP Name : | Sri A. Appana Patro |
| Registration Number : | 1896(OPC) |
| Competent Person : | |
| Qualification : | D.Pharmqa |
| Name of the Proprietor : | T.Babula Patra |
| R : | GAI 99 |
| RC : | GAI 100 |
| RX : | GAI 55 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/1/1994 |
| Date of Expiry : | 5/31/2014 |
| Remarks : |