| Name Of the Firm : | Sitaram Medicine Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.1200 Khata No.159 AT-PO-Marichpur PS-Balikuda DIST-Jagatsinghpur. |
| RP Name : | Sarada Prasanna Khilar |
| Registration Number : | 14077 |
| Competent Person : | |
| Qualification : | B.Pharma |
| Name of the Proprietor : | Nabaghan Behera |
| R : | 25999 |
| RC : | 25600 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 12/1/2010 |
| Date of Expiry : | 11/30/2015 |
| Remarks : |