| Name Of the Firm : | Subha Shree Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 5711, Khata No. 335, At: Tala Humma, P.O.- Humma |
| RP Name : | Santosh Kumar Panda |
| Registration Number : | 23067 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Sisir Kumar Chhotrai |
| R : | SLGAII-5015 |
| RC : | SLGAII-5016 |
| RX : | SLGAII-5017 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
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