| Name Of the Firm : | Prabhat Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst.No.15054A,Ward.No.24, Courtpeta Square,Berhampur |
| RP Name : | Amitabha Jena |
| Registration Number : | 4902 (OPC) |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Prabhat Kumar Jena |
| R : | GAI2285 |
| RC : | GAI2286 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2004.09.25 |
| Date of Expiry : | 10/5/2015 |
| Remarks : |