| Name Of the Firm : | Sudam Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam-III |
| Police Station : | |
| Address : | At/Po.: Sheragada,Plot No.3375 ,Kh.No.1606 |
| RP Name : | Sri Santosh Kumar Mohapatro |
| Registration Number : | 25581 opc |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Sudam Charan Mohapatro |
| R : | 5918 |
| RC : | 5919 |
| RX : | 457 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1985.07.05 |
| Date of Expiry : | 2017.12.26 |
| Remarks : |