| Name Of the Firm : | Hari Om Medicals |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Patta No. 1084, Survey No. 2906, At/P.O.- Jarada |
| RP Name : | Kali Prasad Pattanaik |
| Registration Number : | 12403 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Srikant Sahu |
| R : | SLGAII-909 |
| RC : | SLGAII-910 |
| RX : | SLGAII-911 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |