| Name Of the Firm : | Sri Ram Medical Store, |
| Zone : | S/Z |
| Range : | PKD |
| Police Station : | |
| Address : | At/po- Bapanabudi, P. no- 305/1054, K.No- 138/102 |
| RP Name : | Sri.Surendra Sekhar Samal, Regd.No- 14147/opc |
| Registration Number : | Regd.No- 14147/opc |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | Patika Tirumala |
| R : | 5836 |
| RC : | 5837 |
| RX : | 5838 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/10/2011 |
| Date of Expiry : | 2/9/2016 |
| Remarks : |