| Name Of the Firm : | Shree Hari Medical Store, |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | Mangalpur, Aska,PlotNo.176/5767 ,Kh.No.1072/85 |
| RP Name : | Sri Jitendra Nayak |
| Registration Number : | 22645 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Ch. Hari Sankar Prusty |
| R : | 5457 |
| RC : | 5458 |
| RX : | 5459 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2010.07.22 |
| Date of Expiry : | 2015.07.21 |
| Remarks : |