| Name Of the Firm : | Sai Ram Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 155, Khata No.- 03, At/Po.- Kalampur, Kalahandi |
| RP Name : | Sri K.Sibaram Patra |
| Registration Number : | 15457 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Sushil Kumar Jain |
| R : | 6581 |
| RC : | 6582 |
| RX : | 6583 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 6/30/2012 |
| Date of Expiry : | 6/29/2017 |
| Remarks : | G.D.L |