| Name Of the Firm : | Sriram Med. Store |
| Zone : | Central |
| Range : | BBSR-II |
| Police Station : | |
| Address : | Plot No-1199, Jagamara, Khandagiri, BBSR |
| RP Name : | Nalini Prava Nayak |
| Registration Number : | 8973/opc |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Bhagawan Mohanty |
| R : | 19772 |
| RC : | 19773 |
| RX : | 6946 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 4/9/2004 |
| Date of Expiry : | Applied for C/R 09-04-09 to 08-04-14 |
| Remarks : | Sent to Directorate for C/R / L.No. 377 dt. 01.06.09 |