| Name Of the Firm : | Sri Ram Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Patta No. 208, Survey No. 1023/2,1023/3, At/P.O.- Dhunka Pada |
| RP Name : | Bikash Kumar Bisoyi |
| Registration Number : | 17023 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Niranjan Gouda |
| R : | SLGAII-2799 |
| RC : | SLGAII-2800 |
| RX : | SLGAII-2801 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |