| Name Of the Firm : | Sai Ram Medicine Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 3361, Khata No.- 21, Ram mandir Complex, Po.-Bhawanipatna, Kalahandi |
| RP Name : | Himansu Kumar Mohanty |
| Registration Number : | 8944 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Himanshu Kumar Mohanty |
| R : | 121 |
| RC : | 122 |
| RX : | - |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 6/7/1997 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | Applied for C/R |