| Name Of the Firm : | Sairam Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po: Asurali, Dist : Bhadrak Asurali GramPanchayat Market Complex, Room No. 7 |
| RP Name : | Sri Shasikanta Barik |
| Registration Number : | 11539 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Shasikanta Barik. |
| R : | BH-22443/R |
| RC : | BH-22444/RC |
| RX : | BH-8283/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 11/18/2006 |
| Date of Expiry : | 11/17/2017 |
| Remarks : | C/R Not Issued |