| Name Of the Firm : | Sri Majji Gouri Medical Store, |
| Zone : | S/Z |
| Range : | PKD |
| Police Station : | |
| Address : | At/Po-Paralakhem undi, P.No- 3036,K.No-1707 |
| RP Name : | Sri.Ashok Ku.Sahu R.No.16198/OPC |
| Registration Number : | R.No.16198/OPC |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Y.k.Visweswari Rao (Prop.) |
| R : | 3363 |
| RC : | 3364 |
| RX : | 3365 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/25/2006 |
| Date of Expiry : | 7/31/2016 |
| Remarks : |