| Name Of the Firm : | Tara Tarini Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1438, Khata No. 228/863, At: Kaliabali Chhaka, P.O.- Banabulapalli |
| RP Name : | Usha Rani Mishra |
| Registration Number : | 25033 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Dhirendranath Mishra |
| R : | SLGAII-1004 |
| RC : | SLGAII-1005 |
| RX : | SLGAII-1006 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |