| Name Of the Firm : | Sri Ram Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 247/2027, Khata No- 198, At/po- Komna |
| RP Name : | Lingraj Meher |
| Registration Number : | 18198 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Pradeep Kumar Pangrahi |
| R : | SL-NU-3998R |
| RC : | SL-NU-3999Rc |
| RX : | SL-NU-4000Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 11/13/2007 |
| Date of Expiry : | 11/12/2017 |
| Remarks : |