| Name Of the Firm : | Sri Ganesh Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 429/616, Khata No.- 180/258, Kesinga, Kalahandi |
| RP Name : | Tripurari Behera |
| Registration Number : | 13700 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Rohit Kumar Garg |
| R : | 1243 |
| RC : | 1244 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 9/17/2012 |
| Date of Expiry : | 9/16/2017 |
| Remarks : | G.D.L due to change of Place |