| Name Of the Firm : | Sai Ram Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1082/3682, Khata No. 480/1407, At: Mandiapalli Chhaka, P.O., Narendrapur |
| RP Name : | Akshya Kumar Sahu |
| Registration Number : | 18428 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Surendranath Pattnaik |
| R : | SLGAII-3693 |
| RC : | SLGAII-3694 |
| RX : | SLGAII-3695 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |