| Name Of the Firm : | Sairam Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At / P.O : Betada, Dist : Bhadrak Plot No.737, Khata No.84 |
| RP Name : | Sri Sailesh Ku. Srichandan |
| Registration Number : | 12609 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Muralidhar Mohanty. |
| R : | BH-21768/R |
| RC : | BH-21769/RC |
| RX : | BH-7947/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 2/14/2006 |
| Date of Expiry : | 2/13/2016 |
| Remarks : | C/R Not Issued |