| Name Of the Firm : | Om Sai Medicine Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 938, Khata No. 173, At/P.O.- Dhanaghara, Chikiti |
| RP Name : | Soraj Ram Sahu |
| Registration Number : | 24135 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Pradip Kumar Pradhan |
| R : | SLGAII-7022 |
| RC : | SLGAII-7023 |
| RX : | SLGAII-7024 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |