| Name Of the Firm : | Sriram Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Dhusuri, Dist: Bhadrak Plot No.2247, Khata No.15 |
| RP Name : | Sri Mrutyunjay Mohanty |
| Registration Number : | 12228 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Mrutyunjay Mohanty |
| R : | BH-21694/R |
| RC : | BH-21695/RC |
| RX : | BH-7910/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 1/20/2006 |
| Date of Expiry : | 1/19/2016 |
| Remarks : | C/R Not Issued |