| Name Of the Firm : | Prafula Medicine Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Survey No. 1051/1713, Khata No. 268, Reddy Sahi, At/P.O.- Katuru |
| RP Name : | Laba Kumar Routa |
| Registration Number : | 14571 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Prafula Chandra Behera |
| R : | SLGAI-1794 |
| RC : | SLGAI-1795 |
| RX : | SLGAI-1796 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |