| Name Of the Firm : | Sahu Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 124, Khata No. 165, At: Ganeswarapur, P.O.- Sidheswar |
| RP Name : | Pravakar Jena |
| Registration Number : | 15516 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Baboo Sahu |
| R : | SLGAII-5322 |
| RC : | SLGAI-5323 |
| RX : | SLGAII-5324 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |