| Name Of the Firm : | Sri Siddhartha Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst no-8497A,Word no-12,Ganesh Temple Road,China Bazar,Berhampur. |
| RP Name : | Sri Kanhu Charan Nayak |
| Registration Number : | 8942(OPC) |
| Competent Person : | |
| Qualification : | D. Pharm |
| Name of the Proprietor : | Sri B.Satish |
| R : | GAI2428 |
| RC : | GAI2429 |
| RX : | GAI2430 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2005.02.01 |
| Date of Expiry : | 2015.01.31 |
| Remarks : |