| Name Of the Firm : | Prakash Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Holding no-423,Word no-14,Plot no-1314,Bhapur Bazar,Berhampur |
| RP Name : | Sri V.Shan Mukha Rao |
| Registration Number : | 6470(OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Sri V.Siba Prasad Rao |
| R : | GAI2781 |
| RC : | GAI2782 |
| RX : | GAI159 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1977.07.07 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |