| Name Of the Firm : | Tripura Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot no. 495, Khata No. 222/11, At/P.O.- Patrapur |
| RP Name : | Bhagawan Pati |
| Registration Number : | 6710 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Bhagawan Pati |
| R : | SLGAI-2656 |
| RC : | SLGAI-2657 |
| RX : | SLGAI-2658 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |