| Name Of the Firm : | Pradeep Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Buguda,Plot No.2503/6993, Kh.No.970/757 |
| RP Name : | Patitapaban Tosh |
| Registration Number : | 14051 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Pradeep Kumar Prusty |
| R : | 921 |
| RC : | 922 |
| RX : | 923 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2001.10.17 |
| Date of Expiry : | 2018.01.16 |
| Remarks : |