| Name Of the Firm : | Sri Ram Medical & General Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1995/2451, Khata No. 600/15, At: Longhar Sirkrushna Saranpur,P.O.- Keshpur |
| RP Name : | S. Kailash Chandra Patro |
| Registration Number : | 7973 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | S. Kailash Chandra Patro |
| R : | SLGAII-621 |
| RC : | SLGAII-622 |
| RX : | SLGAII-309 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
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| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |