| Name Of the Firm : | Subham Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1835, Khata No.- 138, At.-Kusurla, Po.- Joradobara, Kalahandi |
| RP Name : | Sri Dhaneswar Sahu |
| Registration Number : | 19918 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Dhaneswar Sahu |
| R : | 2779 |
| RC : | 2780 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 10/5/2005 |
| Date of Expiry : | 10/4/2015 |
| Remarks : | C/R |