| Name Of the Firm : | Ratha Medicine Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 5456, Khata No. 1119/1045, At/P.O.- Digapahandi |
| RP Name : | Ladu Kishore Ratha |
| Registration Number : | 14944 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Ajit Kumar Ratha |
| R : | SLGAI-2139 |
| RC : | SLGAI-2140 |
| RX : | SLGAI-2141 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |