| Name Of the Firm : | Susree Medical Store |
| Zone : | South Zone |
| Range : | Kalahandi |
| Police Station : | |
| Address : | Plot No.- 449, Khata No.- 44/248, At.-Budhipadar, Po.- Matigaon, Kalahandi |
| RP Name : | Sri Sitaram Meher |
| Registration Number : | 23863 |
| Competent Person : | - |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Sitaram Meher |
| R : | 6773 |
| RC : | 6774 |
| RX : | 6775 |
| RR : | - |
| RRC : | - |
| W : | - |
| WC : | - |
| WX : | - |
| Date of Issue : | 10/17/2012 |
| Date of Expiry : | 10/16/2017 |
| Remarks : | G.D.L |