| Name Of the Firm : | Sri Lalita Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst.No.. 11021,Ward.No. 15Bhapurbazar,Masjid Lane,Berhampur, |
| RP Name : | Sri Srikanta Kumar Behera |
| Registration Number : | 21193(OPC) |
| Competent Person : | |
| Qualification : | D. Pharm |
| Name of the Proprietor : | Smt.G.Neeraja |
| R : | GAI2630 |
| RC : | GAI2631 |
| RX : | GAI2632 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 7/19/2005 |
| Date of Expiry : | 1/31/2014 |
| Remarks : |