| Name Of the Firm : | Purusotam Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1044/3145, Khata No.-144/255, Golamunda, Kalahandi |
| RP Name : | Sri Ashutosh Khamari |
| Registration Number : | 20795 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Tapan Kumar mund |
| R : | 5114 |
| RC : | 5115 |
| RX : | 5116 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 1/19/2010 |
| Date of Expiry : | 1/18/2015 |
| Remarks : | G.D.L |