| Name Of the Firm : | Shree Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1150, Khata No.-28, At/Po.-Kaudola, kalahandi |
| RP Name : | Sri Nilamani khamari |
| Registration Number : | 18779 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | sri sampad kumar panda |
| R : | 1619 |
| RC : | 1620 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 4/30/2003 |
| Date of Expiry : | 4/29/2013 |
| Remarks : | Not Applied for C/R |