| Name Of the Firm : | Shree Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 421, Khata No.- 88, At.-Kandhabandhopala, Po.- Risigaon, Kalahandi |
| RP Name : | Smt. Nilima Priyadarshini Ray |
| Registration Number : | 25903 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Bijaya Kumar Mohapatra |
| R : | 7222 |
| RC : | 7223 |
| RX : | 7224 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 7/25/2013 |
| Date of Expiry : | 7/24/2018 |
| Remarks : | G.D.L |