| Name Of the Firm : | Sri Ram Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 795, Khata No. 116, At/P.O.- Sumandala |
| RP Name : | Subhakanta Gouda |
| Registration Number : | 17603 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Surya Narayan Routa |
| R : | SLGAII-331 |
| RC : | SLGAII-332 |
| RX : | SLGAII-168 |
| RR : | |
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| Date of Issue : | |
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