| Name Of the Firm : | Sairam Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | plot no-881/5609khata no-495/2437,Brajanagar 3rd Lane,Lochapada Road,Berhampur. |
| RP Name : | Sri Srikanta Patro |
| Registration Number : | 10040(OPC) |
| Competent Person : | |
| Qualification : | D. Pharm |
| Name of the Proprietor : | Sri Satyanarayan Sabat |
| R : | GAI4587 |
| RC : | GAI4588 |
| RX : | GAI4589 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2008.11.23 |
| Date of Expiry : | 2013.11.21 |
| Remarks : |