| Name Of the Firm : | Sita Ram Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 2085/4009, Khata No. 398/208, At: Samarjhola, P.O.- Kanchuru |
| RP Name : | Pedini Suvendu Mohan Rao |
| Registration Number : | 22364 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | N Indira |
| R : | SLGAII-754 |
| RC : | SLGAII-755 |
| RX : | SLGAII-756 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |