| Name Of the Firm : | Sri Balunkeswar Medical Store, |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Taluk Road, Aska,N.A.C Stall.No.14 |
| RP Name : | Simanchal Sethy, |
| Registration Number : | 22748 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Laxmikanta Patro & Smt. Krushnapriya Rath (Partners) |
| R : | 4680 |
| RC : | 4681 |
| RX : | 4682 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2009.02.07 |
| Date of Expiry : | 2014.02.06 |
| Remarks : |