| Name Of the Firm : | Sahu Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Ward No. 10, Holding No. 01/264, At/P.O.- Digapahandi |
| RP Name : | Simanchal Sahu |
| Registration Number : | 2680 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Simanchal Sahu |
| R : | GA-4814 |
| RC : | GA-4815 |
| RX : | GA-616 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |