| Name Of the Firm : | Sri Binayak Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 694, Khata No. 299, At: Pathara, P.O.- Bahadurpetha |
| RP Name : | Manas Kumar Sahu |
| Registration Number : | 9989 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Prafula Kumar Jena |
| R : | SLGAI-1818 |
| RC : | SLGAI-1819 |
| RX : | SLGAI-1820 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |