| Name Of the Firm : | Shyam Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst no-16754,Word no-24,Komapali Main Road, BAM |
| RP Name : | Sri Bikash Kumar Gouda, |
| Registration Number : | 23866 (OPC) |
| Competent Person : | |
| Qualification : | D Pharm |
| Name of the Proprietor : | Sri B. K. Panda |
| R : | GAI349 |
| RC : | GAI350 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2012.04.21 |
| Date of Expiry : | 2017.04.20 |
| Remarks : |