| Name Of the Firm : | Sri Khetra Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 2224, Khata No. 688, At/P.O.- Golanthara |
| RP Name : | Bhaskara Patnaik |
| Registration Number : | 5325 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Sasmita Kumari Panda |
| R : | SLGAI-2329 |
| RC : | SLGAI-2330 |
| RX : | SLGAI-2331 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |