| Name Of the Firm : | Sai Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 1547/5898, Stall No.- 02, At.- Ghodaghat Temple Complex, Po.- Bhawanipatna, Kalahandi |
| RP Name : | Mangulu Patra |
| Registration Number : | 11937 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Rajendra Kumar Rout |
| R : | 175 |
| RC : | 176 |
| RX : | |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 1/1/2003 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R |