| Name Of the Firm : | SRIMA MEDICAL STORE |
| Zone : | Western Zone, Sambalpur |
| Range : | Sambalpur |
| Police Station : | |
| Address : | AT/PO-PARMANPUR, DIST-SAMBALPUR |
| RP Name : | KIRTAN BARAI |
| Registration Number : | 1108 |
| Competent Person : | |
| Qualification : | |
| Name of the Proprietor : | SITARAM BARAI |
| R : | 391 |
| RC : | 392 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 4/8/1988 |
| Date of Expiry : | 12/31/2016 |
| Remarks : |