| Name Of the Firm : | Sri Lalita Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst no-11021,Word no-15, Bhapur Bazar, Berhampur. |
| RP Name : | Sri Srikant Kumar Behera |
| Registration Number : | 21193(OPC) |
| Competent Person : | |
| Qualification : | D Pharm |
| Name of the Proprietor : | Sri G. Neeraja |
| R : | GAI2630 |
| RC : | GAI2631 |
| RX : | GAI2632 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2009.02.01 |
| Date of Expiry : | 2014.01.31 |
| Remarks : |