| Name Of the Firm : | The Vaccine House |
| Zone : | Southern Zone |
| Range : | Ganjam I Range |
| Police Station : | |
| Address : | Asst.No.17204,Ward.No.26,Gajapati Nagar 1st Lane,Bam |
| RP Name : | |
| Registration Number : | |
| Competent Person : | Smt. Madhulita Mishra |
| Qualification : | MA |
| Name of the Proprietor : | Smt. Madhulita Mishra |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | GAI 479 |
| WC : | GAI 480 |
| WX : | GAI 233 |
| Date of Issue : | 6/18/2001 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |