| Name Of the Firm : | Praffula Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot no-876/7253,Khata no-1166/2779,New Bus Stand Road,Berhampur |
| RP Name : | Sri Rabinarayan Panigrahy |
| Registration Number : | 14630(OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Sri Tarun Kumar Patnaik |
| R : | GAI1058 |
| RC : | GAI1059 |
| RX : | GAI1060 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2002.03.21 |
| Date of Expiry : | 2017.03.20 |
| Remarks : |