| Name Of the Firm : | Pravat Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1320/1693, Khata No. 231/120, At: Panibandha, P.O.- Malada |
| RP Name : | Surya Narayan Mahapatra |
| Registration Number : | 22368 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Pravat Kumar Sethy |
| R : | SLGAII-6889 |
| RC : | SLGAII-6890 |
| RX : | SLGAII-6891 |
| RR : | |
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| Date of Issue : | |
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