| Name Of the Firm : | Shreeram Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-128/499, Kh. No-80,At- Pipili, Puri |
| RP Name : | Sri Kartik Chandra Sahoo |
| Registration Number : | 12828/OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Kartik Chandra Sahoo |
| R : | 19392 |
| RC : | 19393 |
| RX : | 6757 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/1/2003 |
| Date of Expiry : | 11/30/2013 |
| Remarks : |