| Name Of the Firm : | Sri Ram Drug House |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Ward No. 04, Survey No. 11/03, At/P.O.- Hatiota |
| RP Name : | Pravat Kumar Panda |
| Registration Number : | 7675 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | K. Simanchala Patro |
| R : | GA-6054 |
| RC : | GA-6055 |
| RX : | GA-538 |
| RR : | |
| RRC : | |
| W : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |