| Name Of the Firm : | SriRam Medical Hall |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.598/3905 Khata No.819 AT-Purana PO-Anakhia PS-DIST-Jagatsinghpur. |
| RP Name : | Suryakanta Panda |
| Registration Number : | 8375 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Biswa Bhusan Dash |
| R : | 13124 |
| RC : | 13125 |
| RX : | 3780 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/15/2004 |
| Date of Expiry : | 6/14/2014 |
| Remarks : |