| Name Of the Firm : | Sri Somanath Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Patta No. 184, Survey No. 600, Door No. 270, Ward No. 12, Main Road, At/P.O.- Kabisuryanagar |
| RP Name : | Saroj Kumar Gouda |
| Registration Number : | 19862 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Kanhu Charan Das |
| R : | SLGAII-4293 |
| RC : | SLGAII-4284 |
| RX : | SLGAII-4295 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |