| Name Of the Firm : | Shree Ram Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 931, Khata No.- 162, At./Po.- Bamak, Kalahandi |
| RP Name : | Sri P.Surjya Kanta Subudhi |
| Registration Number : | 19935 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Netrananda Sahu |
| R : | 7507 |
| RC : | 7508 |
| RX : | 7509 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 1/31/2014 |
| Date of Expiry : | 1/30/2019 |
| Remarks : | G.D.L Vide DDC Lt.No.353/dt.31.01.2014 |