| Name Of the Firm : | Subham Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 27/2, Khata No. 196, At/P.O.- Badapur |
| RP Name : | A. Monoj Kumar Patro |
| Registration Number : | 17787 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Srikrushna Padhy |
| R : | SLGAI-4239 |
| RC : | SLGAI-4240 |
| RX : | SLGAI-4241 |
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| Date of Issue : | |
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