| Name Of the Firm : | Surgi Plast (India) |
| Zone : | Southern Zone |
| Range : | Ganjam I Range |
| Police Station : | |
| Address : | Asst.No.13892,Ward.No.20,Station Road,Hillpatna,Bam |
| RP Name : | |
| Registration Number : | |
| Competent Person : | Sri Siba Ranjan Panda |
| Qualification : | HSC |
| Name of the Proprietor : | Sri Chitta Ranjan Panda |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | GAI 371 |
| WC : | GAI 372 |
| WX : | GAI 179 |
| Date of Issue : | 2/23/1999 |
| Date of Expiry : | 12/31/2017 |
| Remarks : |