| Name Of the Firm : | Sri Ram Medicine Store |
| Zone : | Central |
| Range : | Jajpur |
| Police Station : | |
| Address : | At- Khaman, P.O.- Sankhachila |
| RP Name : | Amiya Ku. Sahoo |
| Registration Number : | 1548 |
| Competent Person : | |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Aruna Kumar Guru |
| R : | 18468 |
| RC : | 18469 |
| RX : | 5962 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/25/2003 |
| Date of Expiry : | 1/23/2018 |
| Remarks : |