| Name Of the Firm : | M/s-Sairam Medicine Store |
| Zone : | CENTRAL |
| Range : | CTC,RURAL |
| Police Station : | |
| Address : | plot no-540/1017, kh no-17-D-1,At-Ramdashpur Godisahi, P.O.-Godisahi, P.S.-Baranga, Ctc. |
| RP Name : | Goutam Kumar Prusti |
| Registration Number : | 19782/Opc |
| Competent Person : | |
| Qualification : | D-Pharm |
| Name of the Proprietor : | Dillip Kumar Biswal |
| R : | CU25383/R, |
| RC : | CU25384/RC, |
| RX : | CU9750/RX |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 5/3/2010 |
| Date of Expiry : | 5/2/2015 |
| Remarks : |