| Name Of the Firm : | Prasanta Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At: Main Road, Buguda, Po.: Buguda |
| RP Name : | Prasanta Kumar Dakua |
| Registration Number : | 17135 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Prasanta Kumar Dakua |
| R : | 3657 |
| RC : | 3658 |
| RX : | 3659 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2007.04.13 |
| Date of Expiry : | 2017.04.12 |
| Remarks : |