| Name Of the Firm : | Subudhi Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I Range |
| Police Station : | |
| Address : | Plot No.1432,Khata No.815,Asst No.9121,Ward.No.13,Room No.19,City High School Road, K.M.R., Plaza, Berhampur |
| RP Name : | |
| Registration Number : | |
| Competent Person : | Sri A. Jagadish Subudhi |
| Qualification : | HSC |
| Name of the Proprietor : | A.Jagadish Subudhi |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | GAI 325 |
| WC : | GAI 326 |
| WX : | |
| Date of Issue : | 5/18/1998 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |