| Name Of the Firm : | M/s- Shiridi Sai Medical Store, |
| Zone : | S/Z |
| Range : | PKD |
| Police Station : | |
| Address : | At/po- Parlakhemundi, Near Nataraj Theatre, Near Basanta Vihar Road,Dist- Gajapati, P.No- 634/2, k.No- 131/333 |
| RP Name : | Sri Jogesh Singh, |
| Registration Number : | Regd No.- 24618/Opc |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Sri Bommana Sarat Kuar , (Prop.) |
| R : | 7543 |
| RC : | 7544 |
| RX : | 7545 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/24/2014 |
| Date of Expiry : | 2/23/2019 |
| Remarks : |