| Name Of the Firm : | Srikrishna Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 1040, Door No. 234(2), Ward No. 12, At/P.O.- Surangi |
| RP Name : | Prvakar Beja |
| Registration Number : | 15546 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | M. Soraj Kumar |
| R : | SLGAI-1687 |
| RC : | SLGAI-1688 |
| RX : | SLGAI-1689 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |