| Name Of the Firm : | Sai Ram Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1357/2583, Khata No. 911, Ward No. 12, At/P.O.- Jagdalpur |
| RP Name : | Laxmi Narayan Patro |
| Registration Number : | 5454 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Biswanath Patro |
| R : | GA-9442 |
| RC : | GA-9443 |
| RX : | GA-1945 |
| RR : | |
| RRC : | |
| W : | |
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| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |