| Name Of the Firm : | Shree Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Holding No. 03, Ward No. 09, At/P.O.- Hinjilicut |
| RP Name : | Raghunath Sahu |
| Registration Number : | 9100 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Tapan Kumar Sahu |
| R : | SLGAII-1973 |
| RC : | SLGAII-1974 |
| RX : | SLGAII-1975 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |