| Name Of the Firm : | Sri Ganesh Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 434/642, Khata No- 121/62, At- Jugenpadar, Po- Sinapali |
| RP Name : | Rajesh Kumar Behera |
| Registration Number : | 25320 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Jagmohan Meher |
| R : | SL-NU-6958R |
| RC : | SL-NU-6959Rc |
| RX : | SL-NU-6960Rx |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/21/2013 |
| Date of Expiry : | 2/20/2018 |
| Remarks : |