| Name Of the Firm : | Tripathy Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Patta No. 457, Survey No. 71/1, Main Road, At/P.O.- Golabandha |
| RP Name : | Madhulita Panda |
| Registration Number : | 11228 |
| Competent Person : | |
| Qualification : | B. Pharma |
| Name of the Proprietor : | Dr. Monoj Kumar Tripathy |
| R : | SLGAI-3474 |
| RC : | SLGAI-3475 |
| RX : | SLGAI-3476 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
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