| Name Of the Firm : | Nirmal Drug House |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1056, Khata No. 218, Ward No. 12, Holding No. 142, At: Rambha Estate, P.O.- Rambha |
| RP Name : | Tapan Kumar Parida |
| Registration Number : | 21801 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Tapan Kumar Parida |
| R : | SLGAII-6680 |
| RC : | SLGAII-6681 |
| RX : | SLGAII-6682 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |