| Name Of the Firm : | Vishal Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot no-721/6030,Kahat no-1166/1589,Asst no14891/17,Word no-17,Baikuntha Nagar Square, Berhampur |
| RP Name : | Sri Krushna Chandra Panda |
| Registration Number : | 14528(OPC) |
| Competent Person : | |
| Qualification : | D. Pharm |
| Name of the Proprietor : | Sri Mahendra Kumar Biswal |
| R : | GAI5715 |
| RC : | GAI5716 |
| RX : | GAI5717 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2010.12.31 |
| Date of Expiry : | 2015.12.30 |
| Remarks : |