| Name Of the Firm : | Sri Siddha Binayak Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Plot no-404/4557,Khata no-495/1663,At: Lochapada Road, BAM |
| RP Name : | Sri Sunil Kumar Rana, |
| Registration Number : | 23495 (OPC) |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Smt Suprava Patra |
| R : | GAI-6504 |
| RC : | GAI-6505 |
| RX : | GAI-6506 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2012.05.02 |
| Date of Expiry : | 2017.05.01 |
| Remarks : |