| Name Of the Firm : | Sri Ram Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.-69/521, Khata No.- 91/46, At.- Ambagachhapada, Po./P.S-- Bhawanipatna, Kalahandi |
| RP Name : | Sri Srinibash Tripathy |
| Registration Number : | 23719 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Gopal Krishna Pradhan |
| R : | 7750 |
| RC : | 7751 |
| RX : | 7752 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 25/06/2014 |
| Date of Expiry : | 6/24/2019 |
| Remarks : | G.D.L Vide D.D.C lt.No.2571/dt.25.06.14 |