| Name Of the Firm : | Shree Ram Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.493/3100 Khata No.518 AT-PO-PS-Erasama DIST-Jagatsinghpur. |
| RP Name : | Soumyaranjan Parida |
| Registration Number : | 21847 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sandhyarani Das |
| R : | 25537 |
| RC : | 25538 |
| RX : | 9826 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 6/19/2010 |
| Date of Expiry : | 6/20/2015 |
| Remarks : |