| Name Of the Firm : | Suraj Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Plot No. 301/4741, Khata No. 733/437, At: Chamakhandi Junction, P.O.- Chamakhandi |
| RP Name : | Simanchala Naik |
| Registration Number : | 14667 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Samar Biswas |
| R : | SLGAII-1842 |
| RC : | SLGAII-1843 |
| RX : | SLGAII-1844 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | |
| Date of Expiry : | |
| Remarks : |